EYE SITE SACRAMENTO MEDICAL GROUP, INC
NPI 1578866893
Eyewear Supplier in Sacramento, CA
About Eye Site Sacramento Medical Group, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYE SITE SACRAMENTO MEDICAL GROUP, INC (NPI 1578866893) is a healthcare organization registered as an eyewear supplier in Sacramento, California and active in the NPI registry since December 2010. The organization lists Susan M Van Duyn, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Eye Site Sacramento Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Eye Site Sacramento Medical Group, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Eye Site Sacramento Medical Group, Inc's NPI number?
The NPI number for Eye Site Sacramento Medical Group, Inc is 1578866893. It was assigned to this organization in the NPPES registry on December 8, 2010.
Where is Eye Site Sacramento Medical Group, Inc located?
Eye Site Sacramento Medical Group, Inc is located at 4925 J St, Sacramento, CA 95819. The listed phone number is (916) 452-8105.
What is Eye Site Sacramento Medical Group, Inc's specialty?
The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.
Is Eye Site Sacramento Medical Group, Inc enrolled in Medicare?
Yes. Eye Site Sacramento Medical Group, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Eye Site Sacramento Medical Group, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 2 Medicare specialties reassign their Medicare billing to Eye Site Sacramento 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 (6) and Optometry (2). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Eye Site Sacramento Medical Group, Inc was last updated on December 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Eye Site Sacramento Medical Group, Inc · NPI 1578866893
Eyewear Supplier organization in Sacramento, California. Organization record, active in the CMS NPPES registry since December 8, 2010.
## Identity
- **NPI:** 1578866893 (Entity type: Organization)
- **Enumerated:** December 8, 2010
- **Primary specialty:** Eyewear Supplier · taxonomy 332H00000X
- **Organization subpart:** No
- **Authorized official:** Susan Van Duyn, MANAGER
## Practice location
- **Address:** 4925 J ST, Sacramento, CA 95819-3828
- **Phone:** (916) 452-8105 · **Fax:** (916) 452-4659
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (6), Optometry (2); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 8, 2010
- **Other identifiers:** Medicare PIN 5159670001 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1578866893) · Data from the CMS NPPES public registry.