DELTA EYE MEDICAL GROUP, INC.
NPI 1457549123
Ophthalmology in Lodi, CA

Active since October 09, 2007CLIA 05D2095404 · Waiver
521 S HAM LN, SUITE A, LODI, CA 95242(209) 334-5886(209) 334-5281 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 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

NPI1457549123
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameDELTA EYE MEDICAL GROUP, INC.
Location Address521 S HAM LN, SUITE ALodi, CA 95242-3528
Mailing Address521 S Ham Ln, Suite ALodi, CA 95242-3528 · (209) 334-5886 · Fax (209) 334-5281
Fax(209) 334-5281
Organization SubpartYes
Authorized OfficialLaurie K SmithCorporate Controller · (209) 334-5886
Enumeration DateOctober 9, 2007
Last NPPES UpdateJuly 14, 2023
NPPES CertifiedJuly 14, 2023
NPI 1457549123 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.

521 S HAM LN, Lodi, CA 95242

Other Identifiers 2

OtherCD8211CA · Railroad Medicare
MedicaidGR0008460CA

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

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, CA
Active · expires May 5, 2027
CLIA Number05D2095404
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorAndrew P. Chen
Laboratory Phone(209) 334-5886
Laboratory LocationDelta Eye Medical Group, Inc.521 S Ham Ln Ste A, Lodi, CA 95242
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Ophthalmology
521 S HAM LN, SUITE A
LODI, CA 95242
Optometrist
521 S HAM LN
LODI, CA 95242
Ophthalmology
521 S HAM LN, SUITE A
LODI, CA 95242
Clinic/Center (Ambulatory Surgical)
521 S HAM LN, SUITE F
LODI, CA 95242

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 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.

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 with the weekly NPPES data releases published by CMS.