Amador Eye Care Associates Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

6317-T Issued in CA

Legal business name

AMADOR EYE CARE ASSOCIATES OPTOMETRY

Practice address

10 Bryson Dr
Sutter Creek, CA 95685-4118

Phone

(209) 223-1402

Fax

(209) 267-0473

NPI assigned

May 28, 2006

Last updated

May 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Randall Pickens, O.D.NPI 1124088422

Title

Owner

Phone

(209) 223-1402

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelli G Garcia, O.D.

  • Optometrist
  • Sutter Creek, CA
  • NPI 1821278714
  Medicare reassignment Care Compare group
• Travis Patrick Lyman, OD

  • Optometrist
  • Sutter Creek, CA
  • NPI 1467989483
  Medicare reassignment Care Compare group
• Todd Randall Pickens, O.D.

  • Optometrist
  • Sutter Creek, CA
  • NPI 1124088422
  Authorized official Same address or phone

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1982651568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRYSON DR",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956854118",
            "telephone_number": "209-223-1402",
            "fax_number": "209-267-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRYSON DR",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956854118",
            "telephone_number": "209-223-1402",
            "fax_number": "209-267-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADOR EYE CARE ASSOCIATES OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-223-1402",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6317-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVDUAL NPI",
            "identifier": "1124088422",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Abbott
• Stephanie Alcantar, CMA
• Amador-Calaveras Counseling Service
• Amdor County TCM Program
• Angel Lift Non Emergency Medical Transportation Incorporated
• Candace Azpeitia, ACSW
• Bridget Bassard

• Optometrist in Sutter Creek, CA
• Providers in Sutter Creek, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.