NPIMap

Organization Active NPI

Sierra View Medical Eye., Inc

  • Ophthalmology Physician
  • Grass Valley, CA
National Provider Identifier
1982631941
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SIERRA VIEW MEDICAL EYE., INC
Practice address
400 Sierra College Dr
Suite a
Grass Valley, CA 95945-5089
Phone
(530) 272-3411
Fax
(530) 272-3474
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Authorized official

Name
Dr. Keith Mercer, M.D.NPI 1568543049
Title
President
Phone
(530) 272-3411

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

400 Sierra College Dr
Suite a
Grass Valley, CA 95945-5089

Mailing address

400 Sierra College Dr
Suite a
Grass Valley, CA 95945-5089
Phone (530) 272-3411

Other identifiers 1

IdentifierTypeStateIssuer
1982631941MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060120000508 CA Part B Supplier - Clinic/Group Practice 7113941808 Receives reassigned benefits from 9 practitioners
Practice locations: Grass Valley, CA
O20100930059766 CA DME Supplier - Physician - OptometristDME Supplier - Unknown Supplier/ProviderDME Supplier - Physician - Ophthalmology 7113941808 Practice locations: Grass Valley, 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
Sierra View Medical Eye400 Sierra College Dr, Grass Valley, CA 95945-5093(530) 272-3411 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1994

National Provider Directory

National Provider Directory

Locations

409 Joerschke Dr
Grass Valley, CA 95945
Phone (530) 272-3411

Practitioners & affiliated clinicians

Practitioners 12

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1982631941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SIERRA COLLEGE DR",
            "address_2": "SUITE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455089",
            "telephone_number": "530-272-3411",
            "fax_number": "530-272-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SIERRA COLLEGE DR",
            "address_2": "SUITE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455089",
            "telephone_number": "530-272-3411",
            "fax_number": "530-272-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VIEW MEDICAL EYE., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-272-3411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982631941",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.