ELK GROVE OPTOMETRY A PROFESSIONAL CORPORATION
NPI 1306895545
Optometrist in Elk Grove, CA

Active since May 06, 2006
9401 E STOCKTON BLVD, STE 105, ELK GROVE, CA 95624(916) 686-4937(916) 686-4469 Get Directions Write a Review

NPPES record last updated: October 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elk Grove Optometry A Professional Corporation NPPES

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

ELK GROVE OPTOMETRY A PROFESSIONAL CORPORATION (NPI 1306895545) is a healthcare organization registered as an optometrist in Elk Grove, California and active in the NPI registry since May 2006. The organization lists David T Kageyama, President, as its authorized official.

NPPES Registry Identity

NPI1306895545
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameELK GROVE OPTOMETRY A PROFESSIONAL CORPORATION
Location Address9401 E STOCKTON BLVD, STE 105Elk Grove, CA 95624
Mailing Address9401 E Stockton Blvd, Ste 105Elk Grove, CA 95624 · (916) 686-4937 · Fax (916) 686-4469
Fax(916) 686-4469
Organization SubpartNo
Authorized OfficialDavid T KageyamaPresident · (916) 686-4937
Enumeration DateMay 6, 2006
Last NPPES UpdateOctober 29, 2013
NPI 1306895545 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.
9401 E STOCKTON BLVD, Elk Grove, CA 95624

Other Identifiers 3

Medicare NSC0433340001CA
Medicare PINGZ602ACA
MedicaidGDS00190CA

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

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Elk Grove Optometry A Prof Corp carries, from the Medicare DMEPOS supplier directory.

Elk Grove Optometry A Prof Corp

DMEPOS supplier · Elk Grove, CAOperated by Elk Grove Optometry A Professional Corporation

Does not accept Medicare assignment

Elk Grove Optometry A Prof Corp has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20517635
Medicare Participant SinceDecember 24, 2012
Supplier Location9401 E Stockton Blvd Ste 105Elk Grove, CA 95624
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
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 5

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

Optometrist
9401 E STOCKTON BLVD, STE 105
ELK GROVE, CA 95624
Plastic Surgery
9401 E STOCKTON BLVD, STE 220
ELK GROVE, CA 95624
Specialist
9401 E STOCKTON BLVD, SUITE 220
ELK GROVE, CA 95624
Optometrist
9401 E STOCKTON BLVD, STE 105
ELK GROVE, CA 95624
Dentist
9401 E STOCKTON BLVD
ELK GROVE, CA 95624

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 Elk Grove Optometry A Professional Corporation's NPI number?

The NPI number for Elk Grove Optometry A Professional Corporation is 1306895545. It was assigned to this organization in the NPPES registry on May 6, 2006.

Where is Elk Grove Optometry A Professional Corporation located?

Elk Grove Optometry A Professional Corporation is located at 9401 E Stockton Blvd Ste 105, Elk Grove, CA 95624. The listed phone number is (916) 686-4937.

What is Elk Grove Optometry A Professional Corporation's specialty?

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

Does Elk Grove Optometry A Professional Corporation accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Elk Grove Optometry A Prof Corp does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Elk Grove Optometry A Professional Corporation accept?

Health plans from BlueCross BlueShield of Tennessee list Elk Grove Optometry A Professional Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elk Grove Optometry A Professional Corporation was last updated on October 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.