DELTA EYE MEDICAL GROUP, INC.
NPI 1184812851
Ophthalmology in Tracy, CA

Active since October 09, 2007CLIA Certified · 2 labs
2160 W GRANT LINE RD, SUITE 100, TRACY, CA 95377(209) 835-2227 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Delta Eye Medical Group, Inc. NPPES

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

DELTA EYE MEDICAL GROUP, INC. (NPI 1184812851) is a healthcare organization registered as an ophthalmology in Tracy, California and active in the NPI registry since October 2007. The organization holds 2 active CLIA laboratory certificates and lists Cindy Daasch, Manager, as its authorized official.

NPPES Registry Identity

NPI1184812851
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameDELTA EYE MEDICAL GROUP, INC.
Location Address2160 W GRANT LINE RD, SUITE 100Tracy, CA 95377-7330
Mailing Address2160 W Grant Line Rd, Suite 100Tracy, CA 95377-7330 · (209) 835-2227
Organization SubpartYes
Authorized OfficialCindy DaaschManager · (209) 478-1797
Enumeration DateOctober 9, 2007
Last NPPES UpdateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
NPI 1184812851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2160 W GRANT LINE RD, Tracy, CA 95377

Other Identifiers 2

MedicaidGR0008462CA
OtherDE2454CA · Railroad Medicare

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2060650

Delta Eye Medical Group, Inc. · Tracy, CA
Active · expires Jun 13, 2027
CLIA Number05D2060650
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorPamela Y. Tsuchiya, MD
Laboratory Phone(209) 478-1797
Laboratory LocationDelta Eye Medical Group, Inc.2160 W. Grant Line Rd., Ste. 100, Tracy, CA 95377
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2045463

Delta Eye Medical Group, Inc. · Stockton, CA
Active · expires Aug 13, 2026
CLIA Number05D2045463
Laboratory TypePhysician Office
Certificate Effective DateAugust 14, 2024
Certificate Expiration DateAugust 13, 2026
Laboratory DirectorJeffery J. Ing
Laboratory Phone(209) 478-1797
Laboratory LocationDelta Eye Medical Group, Inc.1617 St. Mark's Plaza, Ste. D, Stockton, CA 95207
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Delta Eye Medical Group Inc carries, from the Medicare DMEPOS supplier directory.

Delta Eye Medical Group Inc

DMEPOS supplier · Tracy, CA

Accepts Medicare assignment

Delta Eye Medical Group Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20675729
Medicare Participant SinceJanuary 1, 1989
Supplier Location2160 W Grant Line Rd Ste 100Tracy, CA 95377
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
2160 W GRANT LINE RD, SUITE 240
TRACY, CA 95377
Urology
2160 W GRANT LINE RD, SUITE 140
TRACY, CA 95377
Surgery (Plastic and Reconstructive Surgery)
2160 W GRANT LINE RD, SUITE 250
TRACY, CA 95377
Optometrist
2160 W GRANT LINE RD, SUITE 100
TRACY, CA 95377
Anesthesiology
2160 W GRANT LINE RD, SUITE 120
TRACY, CA 95377
Dentist
2160 W GRANT LINE RD, SUITE 220
TRACY, CA 95377
Otolaryngology (Facial Plastic Surgery)
2160 W GRANT LINE RD, SUITE 250
TRACY, CA 95377
Internal Medicine
2160 W GRANT LINE RD, STE 230
TRACY, CA 95377

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 Delta Eye Medical Group, Inc.'s NPI number?

The NPI number for Delta Eye Medical Group, Inc. is 1184812851. It was assigned to this organization in the NPPES registry on October 9, 2007.

Where is Delta Eye Medical Group, Inc. located?

Delta Eye Medical Group, Inc. is located at 2160 W Grant Line Rd Suite 100, Tracy, CA 95377. The listed phone number is (209) 835-2227.

What is Delta Eye Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Delta Eye Medical Group, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Delta Eye Medical Group Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Delta Eye Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Delta Eye Medical Group, Inc. was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.