Sonoma Eyeworks an Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SONOMA EYEWORKS AN OPTOMETRIC CORPORATION

Practice address

534 Larkfield Ctr
Santa Rosa, CA 95403-7503

Phone

(707) 578-2020

Fax

(707) 578-5622

NPI assigned

Nov 11, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffrey Stewart Ricks, ODNPI 1043403595

Title

Ceo

Phone

(707) 578-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Stewart Ricks, O.D.

  • Optometrist
  • Fremont, CA
  • NPI 1043403595
  Medicare reassignment Care Compare group NPD Authorized official
• Julie Ann Wagstaff, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1124179908
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1891330171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 LARKFIELD CTR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037503",
            "telephone_number": "707-578-2020",
            "fax_number": "707-578-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 LARKFIELD CTR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037503",
            "telephone_number": "707-578-2020",
            "fax_number": "707-578-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA EYEWORKS AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "RICKS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-578-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonoma County Junior College District
• Sonoma County Office of Education
• Sonoma County Sheriff Department
• Sonoma County Transportation LLC
• Sonoma Critical Care Associates Inc
• Sonoma Family Therapy Inc
• Sonoma Health Institute PC
• Sonoma in-Home Aides, LLC
• Sonoma Memory Center Comprehensive Psychology Services Professional Co
• Sonoma Memory Clinic

• Optometrist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.