NPIMap

Organization Active NPI

Fig Garden Optometry, Inc.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1942215702
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
COR 503 Issued in CA
Legal business name
FIG GARDEN OPTOMETRY, INC.
Practice address
5151 N. Palm Ave.
Suite 150
Fresno, CA 93704-2211
Phone
(559) 229-7202
Fax
(559) 229-2998
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Jeffrey C. Krohn, O.D.NPI 1609871961
Title
President/Ceo
Phone
(559) 229-7202

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X COR 503 CA Primary

Addresses

Primary practice location

5151 N. Palm Ave.
Suite 150
Fresno, CA 93704-2211

Mailing address

5151 N. Palm Ave.
Suite 150
Fresno, CA 93704-2211
Phone (559) 229-7202

Other identifiers 1

IdentifierTypeStateIssuer
GSD000470MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090921000318 CA Part B Supplier - Clinic/Group Practice 7416003223 Receives reassigned benefits from 4 practitioners
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

5151 N Palm Ave
Ste 150
Fresno, CA 93704
Phone (559) 229-7202

Practitioners & affiliated clinicians

Practitioners 5

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1942215702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N. PALM AVE.",
            "address_2": "SUITE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042211",
            "telephone_number": "559-229-7202",
            "fax_number": "559-229-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N. PALM AVE.",
            "address_2": "SUITE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042211",
            "telephone_number": "559-229-7202",
            "fax_number": "559-229-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIG GARDEN OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "KROHN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "559-229-7202",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR 503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.