EAGLE VISION EYE CARE OPTOMETRIC GROUP
NPI 1174708804
Optometrist in Sacramento, CA

Active since December 31, 2007
5777 GREENBACK LN., STE 100, SACRAMENTO, CA 95841(916) 231-0034(916) 231-0038 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Eagle Vision Eye Care Optometric Group NPPES

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

EAGLE VISION EYE CARE OPTOMETRIC GROUP (NPI 1174708804) is a healthcare organization registered as an optometrist in Sacramento, California and active in the NPI registry since December 2007. The organization lists Michael Wayne Johnson, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1174708804
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEAGLE VISION EYE CARE OPTOMETRIC GROUP
Location Address5777 GREENBACK LN., STE 100Sacramento, CA 95841-2013
Mailing Address5777 Greenback Ln., Ste 100Sacramento, CA 95841-2013 · (916) 231-0034 · Fax (916) 231-0038
Fax(916) 231-0038
Organization SubpartNo
Authorized OfficialMichael Wayne JohnsonOptometrist/owner · (916) 231-0034
Enumeration DateDecember 31, 2007
Last NPPES UpdateAugust 29, 2011
NPI 1174708804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
5777 GREENBACK LN., Sacramento, CA 95841

Other Identifiers 3

MedicaidCT764ACA
Medicare NSC6383190001CA
Medicare PINCT764ACA

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 Eagle Vision Eye Care Optometric Group's NPI number?

The NPI number for Eagle Vision Eye Care Optometric Group is 1174708804. It was assigned to this organization in the NPPES registry on December 31, 2007.

Where is Eagle Vision Eye Care Optometric Group located?

Eagle Vision Eye Care Optometric Group is located at 5777 Greenback Ln. Ste 100, Sacramento, CA 95841. The listed phone number is (916) 231-0034.

What is Eagle Vision Eye Care Optometric Group'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 Eagle Vision Eye Care Optometric Group was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.