Organization Active NPI

Six Rivers Optical, Inc.

  • Optician
  • Eureka, CA
National Provider Identifier
1902945751
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
2714 Issued in CA
Legal business name
SIX RIVERS OPTICAL, INC.
Practice address
2039 Harrison Ave
Eureka, CA 95501-3211
Phone
(707) 445-2079
Fax
(707) 445-2070
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Martin J Dodd, D.O.NPI 1649040700
Title
Owner
Phone
(707) 445-2079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 2714 CA Primary
Eyewear Supplier 332H00000X 2714 CA

Addresses

Primary practice location

2039 Harrison Ave
Eureka, CA 95501-3211

Mailing address

2039 Harrison Ave
Eureka, CA 95501-3211
Phone (707) 445-2079

Other identifiers 2

IdentifierTypeStateIssuer
DX002714FMedicaidCA
1448OtherCAMEDICAL EYE SERVICES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930001352 CA DME Supplier - Optician 7810015443 Practice locations: Eureka, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Six Rivers Optical2039 Harrison Ave, Eureka, CA 95501-3211(707) 445-2079 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2039 Harrison Ave
Eureka, CA 95501
Phone (707) 445-2079

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1902945751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013211",
            "telephone_number": "707-445-2079",
            "fax_number": "707-445-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013211",
            "telephone_number": "707-445-2079",
            "fax_number": "707-445-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIX RIVERS OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-445-2079",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "2714",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "2714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX002714F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "1448",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.