DELTA EYE MEDICAL GROUP, INC.
NPI 1457549123
Ophthalmology in Lodi, CA
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 1457549123) is a healthcare organization registered as an ophthalmology in Lodi, California and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists Laurie K Smith, Corporate Controller, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Delta Eye Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Delta Eye Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (13)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 05D2095404
Delta Eye Medical Group, Inc. · Lodi, CAFrequently 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 1457549123. 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 521 S Ham Ln Suite A, Lodi, CA 95242. The listed phone number is (209) 334-5886.
What is Delta Eye Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Delta Eye Medical Group, Inc. enrolled in Medicare?
Yes. Delta Eye Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Delta Eye Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 2 Medicare specialties reassign their Medicare billing to Delta Eye Medical Group, Inc.. 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. The largest specialties are Ophthalmology (7) and Optometry (6). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Delta Eye Medical Group, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2095404) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Delta Eye Medical Group, Inc. · NPI 1457549123
Ophthalmology organization in Lodi, California. Organization record, active in the CMS NPPES registry since October 9, 2007.
## Identity
- **NPI:** 1457549123 (Entity type: Organization)
- **Enumerated:** October 9, 2007
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** Yes (part of Delta Eye Medical Group, Inc.)
- **Authorized official:** Laurie Smith, CORPORATE CONTROLLER
## Practice location
- **Address:** 521 S HAM LN, SUITE A, Lodi, CA 95242-3528
- **Phone:** (209) 334-5886 · **Fax:** (209) 334-5281
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (7), Optometry (6); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2023
- **Other identifiers:** Other CD8211 (CA); Medicaid GR0008460 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1457549123) · Data from the CMS NPPES public registry.