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JACK M. ELIZARES OPTOMETRIC CORPORATION
NPI 1164932976
Optometrist in Clearlake, CA

Active since October 06, 2017
3610 OLD HWY 53, CLEARLAKE, CA 95422(707) 994-8641(707) 994-5858 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack M. Elizares Optometric Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK M. ELIZARES OPTOMETRIC CORPORATION (NPI 1164932976) is a healthcare organization registered as an optometrist in Clearlake, California and active in the NPI registry since October 2017. The organization lists Jack M. Elizares, Ceo, Cfo, as its authorized official.

NPPES Registry Identity

NPI1164932976
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJACK M. ELIZARES OPTOMETRIC CORPORATION
Location Address3610 OLD HWY 53Clearlake, CA 95422-9543
Mailing Address3610 Old Highway 53Clearlake, CA 95422-9253 · (707) 994-8641 · Fax (707) 994-5858
Phone(707) 994-8641
Fax(707) 994-5858
Organization SubpartNo
Authorized OfficialJack M. ElizaresCeo, Cfo · (707) 994-8641
Enumeration DateOctober 6, 2017
✔ NPI 1164932976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 6646
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3610 OLD HWY 53, Clearlake, CA 95422
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Other Identifiers 1

MedicaidSD0066460CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack M. Elizares Optometric Corporation's NPI number?

The NPI number for Jack M. Elizares Optometric Corporation is 1164932976. It was assigned to this organization in the NPPES registry on October 6, 2017.

Where is Jack M. Elizares Optometric Corporation located?

Jack M. Elizares Optometric Corporation is located at 3610 Old Hwy 53, Clearlake, CA 95422. The listed phone number is (707) 994-8641.

What is Jack M. Elizares Optometric Corporation's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jack M. Elizares Optometric Corporation was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.