SIERRA EYECARE ASSOCIATES
NPI 1699854158
Optometrist in Jackson, CA

Active since November 03, 2006CLIA 05D2173099 · Waiver
817 COURT ST, SUITE 10, JACKSON, CA 95642(209) 223-2020(209) 223-2046 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sierra Eyecare Associates NPPES

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

SIERRA EYECARE ASSOCIATES (NPI 1699854158) is a healthcare organization registered as an optometrist in Jackson, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through October 3, 2027 and lists Steven J Fronk, Partner, as its authorized official.

NPPES Registry Identity

NPI1699854158
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSIERRA EYECARE ASSOCIATES
Location Address817 COURT ST, SUITE 10Jackson, CA 95642-2156
Mailing Address817 Court St, Suite 10Jackson, CA 95642-2156 · (209) 223-2020 · Fax (209) 223-2046
Fax(209) 223-2046
Organization SubpartNo
Authorized OfficialSteven J FronkPartner · (209) 223-2020
Enumeration DateNovember 3, 2006
Last NPPES UpdateMay 5, 2009
✔ NPI 1699854158 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.
817 COURT ST, Jackson, CA 95642

Other Identifiers 3

Medicare NSC0297050001CA
Medicare PINZZZ22847Z
OtherCPS5166CA · Medicare Railroad

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

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)

Sierra Eyecare Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20050405001443Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Sierra Eyecare Associates, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Optometry
NPI 1992754246
817 COURT ST STE 10
Jackson, CA 95642
(209) 223-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1316917479
817 COURT ST SUITE 10
Jackson, CA 95642
(209) 223-2020
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1417927161
817 COURT ST SUITE 10
Jackson, CA 95642
(209) 223-2020
✔ PECOSSame address
Optometry
NPI 1417478835
810 COURT ST # 10
Jackson, CA 95642
(209) 223-2020
✔ PECOS✔ Accepts Medicare0.1 mi
Ophthalmology
NPI 1972520641
9221 SIERRA COLLEGE BLVD SUITE 130
Roseville, CA 95661
(916) 797-6747
✔ PECOS✔ Accepts Medicare36 mi
Optometry
NPI 1104252147
5020 ELLINGHOUSE DR STE A
Cool, CA 95614
(530) 887-8048
✔ PECOS39 mi
Ophthalmology
NPI 1952351876
9576 HWY 70
Minocqua, WI 54548
(715) 387-5236
✔ PECOS✔ Accepts Medicare1,666 mi

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 05D2173099

Sierra Eyecare Associates · Jackson, CA
Active · expires Oct 3, 2027
CLIA Number05D2173099
Laboratory TypePractitioner Other
Certificate Effective DateOctober 4, 2025
Certificate Expiration DateOctober 3, 2027
Laboratory DirectorRichard H. Van Buskirk
Laboratory Phone(209) 223-2020
Laboratory LocationSierra Eyecare Associates817 Court Street, #10, Jackson, CA 95642
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Sierra Eyecare Associates carries, from the Medicare DMEPOS supplier directory.

Sierra Eyecare Associates

DMEPOS supplier · Jackson, CA
✔

Accepts Medicare assignment

Sierra Eyecare Associates agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20636255
Medicare Participant SinceJuly 1, 1998
Supplier Location817 Court St Ste 10Jackson, CA 95642
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Sierra Eyecare Associates's NPI number?

The NPI number for Sierra Eyecare Associates is 1699854158. It was assigned to this organization in the NPPES registry on November 3, 2006.

Where is Sierra Eyecare Associates located?

Sierra Eyecare Associates is located at 817 Court St Suite 10, Jackson, CA 95642. The listed phone number is (209) 223-2020.

What is Sierra Eyecare Associates's specialty?

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

Is Sierra Eyecare Associates enrolled in Medicare?

Yes. Sierra Eyecare Associates is registered in the Medicare PECOS enrollment system.

When is Sierra Eyecare Associates'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 November 30, 2026. 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 Sierra Eyecare Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Sierra Eyecare Associates. 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 Optometry (5) and Ophthalmology (2). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sierra Eyecare Associates accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Sierra Eyecare Associates accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Sierra Eyecare Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2173099) is associated with this NPI, valid through October 3, 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 Sierra Eyecare Associates was last updated on May 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.