Individual provider Active NPI

Etienne R Sinquin, O.D.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1962567065
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 12238T Issued in CA
Practice address
3010 N Fresno St
Fresno, CA 93703-1124
Phone
(559) 221-1414
Fax
(559) 229-8550
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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 12238T CA Primary

Addresses

Primary practice location

3010 N Fresno St
Fresno, CA 93703-1124

Mailing address

3010 N Fresno St
Fresno, CA 93703-1124
Phone (559) 221-1414

Other practice location 1

1360 E Herndon Ave Ste 401
Fresno, CA 93720-3326
Phone (559) 298-3600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address etienne.sinquin.p4@direct.californiaeye.nextgenshare.com Direct

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
I20040728000645 CA Practitioner - Optometry 9436129384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fogg Remington Eyecare IncGroup PAC ID 7911993902, 18 clinicians

Practice addresses (Care Compare)

1360 E Herndon Ave
Suite 401
Fresno, CA 93720-3326
Phone (559) 449-5010

Merit-based Incentive Payment System (MIPS)

Final score
86.93 of 100Reported as group
Quality
87.98
Promoting interoperability
99
Improvement activities
40
Cost
62.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 12238TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fogg Remington Eyecare, Inc. Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Fogg Remington Eyecare Inc Current Accepting new patients
Fogg Remington Eyecare Inc Optometrist CurrentSince Oct 1, 2020 Accepting new patients
Dr. Etienne Sinquin, Optometrist, Inc Optometrist Past Accepting new patients
Fogg Remington Eyecare, Inc. Optometrist Past Accepting new patients
20/20 Optometric Thomas Casagrande, OD Optometrist PastSince Jul 8, 2020 Accepting new patients

Locations

1817 Shaw Ave
Ste 104
Clovis, CA 93611
Phone (559) 449-5010

1648 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 432-2111

1360 E Herndon Ave
Ste 401
Fresno, CA 93720
Phone (209) 449-5010

3830 N 1st St
Fresno, CA 93726
Phone (559) 449-5010

2401 W Cleveland Ave
Madera, CA 93637
Phone (559) 449-5010

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1962567065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031124",
            "telephone_number": "559-221-1414",
            "fax_number": "559-229-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031124",
            "telephone_number": "559-221-1414",
            "fax_number": "559-229-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 E Herndon Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203326",
            "country_code": "US",
            "telephone_number": "559-298-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINQUIN",
        "first_name": "ETIENNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 12238T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etienne.sinquin.p4@direct.californiaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "FMLR Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1360 E Herndon Ave Ste 401",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937203326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.