Individual provider Active NPI

Robert Belajic, OD

  • Optometrist
  • Auburn, CA
National Provider Identifier
1952485427
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 5814TPL Issued in CA
Practice address
3211 Fortune CT
Auburn, CA 95602-9245
Phone
(530) 885-6241
Fax
(530) 885-0144
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 5814TPL CA Primary

Addresses

Primary practice location

3211 Fortune CT
Auburn, CA 95602-9245

Mailing address

3211 Fortune CT
Auburn, CA 95602-9245
Phone (530) 885-6241

Other identifiers 1

IdentifierTypeStateIssuer
SD0058140MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070907000174 CA Practitioner - Optometry 5991898991 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Auburn Eye Care AssociatesGroup PAC ID 4880711902, 5 clinicians

Practice addresses (Care Compare)

3211 Fortune CT
Suite a
Auburn, CA 95602-9245
Phone (530) 885-6241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 5814TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Eye Care Associates Optometrist CurrentSince May 19, 2003 Accepting new patients
Auburn Eye Care Associates Optometrist CurrentSince Mar 1, 2013 Accepting new patients

Locations

3211 Fortune Ct
Ste A
Auburn, CA 95602
Phone (530) 885-6241

3211 Fortune Ct
Auburn, CA 95602
Phone (530) 885-6241

333 S Auburn St
Ste 1
Colfax, CA 95713
Phone (530) 346-2269

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1952485427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 FORTUNE CT",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956029245",
            "telephone_number": "530-885-6241",
            "fax_number": "530-885-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 FORTUNE CT",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956029245",
            "telephone_number": "530-885-6241",
            "fax_number": "530-885-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELAJIC",
        "first_name": "ROBERT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 5814TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0058140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.