ELK GROVE OPTOMETRY A PROFESSIONAL CORPORATION
NPI 1306895545
Optometrist in Elk Grove, CA
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
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elk Grove Optometry A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Elk Grove Optometry A Professional Corporation, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 CorporationDoes 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.
Medicare Product Categories
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.
Is Elk Grove Optometry A Professional Corporation enrolled in Medicare?
Yes. Elk Grove Optometry A Professional Corporation is registered in the Medicare PECOS enrollment system.
When is Elk Grove Optometry A Professional Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Elk Grove Optometry A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Elk Grove Optometry A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Anthem Blue Cross and Blue Shield and 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 13 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.
# Elk Grove Optometry A Professional Corporation · NPI 1306895545
Optometrist organization in Elk Grove, California. Organization record, active in the CMS NPPES registry since May 6, 2006.
## Identity
- **NPI:** 1306895545 (Entity type: Organization)
- **Enumerated:** May 6, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** David Kageyama, PRESIDENT
## Practice location
- **Address:** 9401 E STOCKTON BLVD, STE 105, Elk Grove, CA 95624
- **Phone:** (916) 686-4937 · **Fax:** (916) 686-4469
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 29, 2013
- **Other identifiers:** Medicare NSC 0433340001 (CA); Medicare PIN GZ602A (CA); Medicaid GDS00190 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1306895545) · Data from the CMS NPPES public registry.