Tahoe Sierra Eye & Optical, a Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

C51920 Issued in CA

Legal business name

TAHOE SIERRA EYE & OPTICAL, A MEDICAL CORPORATION

Practice address

10956 Donner Pass Rd
Suite 120
Truckee, CA 96161-4861

Phone

(530) 582-3666

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Miss Nicole Renee Kurland

Title

Office Manager

Phone

(530) 582-3666

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NV2 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.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Camp, MD

  • Ophthalmology Physician
  • Truckee, CA
  • NPI 1285662536

  CA, NV

  Medicare reassignment NPD
• Evelyn Denise Moffett, CRNA

  • Certified Registered Nurse Anesthetist
  • Melbourne, FL
  • NPI 1770012379
  NPD
• Kenneth Kirk Ritchie, MD

  • Ophthalmology Physician
  • Truckee, CA
  • NPI 1629014931
  NPD (past)
• Misha-Michelle M Faustina, MD

  • Ophthalmology Physician
  • Worcester, MA
  • NPI 1669438057
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1982736252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD",
            "address_2": "SUITE 120",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10956 DONNER PASS RD",
            "address_2": "SUITE 120",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614861",
            "telephone_number": "530-582-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE SIERRA EYE & OPTICAL, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "KURLAND",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-582-3666",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C51920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahoe Forest Hospital District
• Tahoe Forest Hospital District
• Tahoe Forest Hospital District
• Tahoe Forest Hospital District
• Tahoe Oral Surgery
• Tahoe Truckee Advanced Psychiatric Nursing a Professional Corporation
• Tahoe Truckee Unified School District
• Yuko Takizawa, MA, AMFT
• Ayana Taylor
• Betsy Taylor, R.D.

• Specialist in Truckee, CA
• Providers in Truckee, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.