BIDWELL OPTOMETRY (NPI# 1063724995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063724995 |
| Entity Type | Organization |
| Organization Name | BIDWELL OPTOMETRY |
| Practice Address |
2545 E Bidwell St Suite 160 Folsom CA 95630-6440 |
| Practice Telephone | 9169830896 |
| Practice Fax Number | 9169830172 |
| Mailing Telephone | 9169830896 |
| Mailing Fax Number | 9169830172 |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2012-04-04 |
| Authorized Official Name | DR. THOMAS A. JONAS (PRESIDENT) |
| Authorized Official Telephone | 9169830896 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6258T | CA | Eye and Vision Services Providers |
| Street Address |
2545 E BIDWELL ST SUITE 160 |
| City | FOLSOM |
| State | CA |
| Zip Code | 95630-6440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508859182 | David Allen Benevento | Chiropractor | 2545 E Bidwell St, Suite 130, Folsom, CA 95630-6440 | 2005-08-29 |
| 1871041970 | Nisha Nijjar | Nurse Practitioner | 2545 E Bidwell St, Suite 110, Folsom, CA 95630-6440 | 2016-09-17 |
| 1992064547 | Loran Killar | Physician Assistant | 2545 E Bidwell St, #110, Folsom, CA 95630-6440 | 2012-05-16 |
| 1811221674 | Kulwant Singh | Psychiatry & Neurology | 2545 E Bidwell St, Suite 110, Folsom, CA 95630-6440 | 2009-09-28 |
| 1023274396 | Jennifer Elizabeth Wademan | Optometrist | 2545 E Bidwell St, Suite 160, Folsom, CA 95630-6440 | 2008-08-05 |
| 1134385636 | A. Paul Reeves, Dmd, Professional Dental Corporation | Dentist | 2545 E Bidwell St, Suite 100, Folsom, CA 95630-6440 | 2008-08-04 |
| 1144414293 | Joy Liu D.o., Inc. | Family Medicine | 2545 E Bidwell St, Suite 110, Folsom, CA 95630-6440 | 2007-08-31 |
| 1912128547 | Joy Liu | Family Medicine | 2545 E Bidwell St, #110, Folsom, CA 95630-6440 | 2007-05-01 |
| 1174665301 | Fahim M. Kabir | Optometrist | 2545 E Bidwell St, Suite 160, Folsom, CA 95630-6440 | 2007-02-13 |
| 1225042583 | California Internal Medicine Associates, Inc | Internal Medicine | 2545 E Bidwell St, Suite # 110, Folsom, CA 95630-6440 | 2006-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831724657 | Corrections and Rehabilitation | Pharmacy | 570 E. Natoma Street, Folsom, CA 95630 | 2020-03-12 |
| 1174153027 | Haley Harmon | Nurse Practitioner | 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 | 2020-01-20 |
| 1932741469 | Ruma Ramani Jolly | Speech-Language Pathologist | 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 | 2019-10-16 |
| 1750844767 | Sharon Munyaanyi | Registered Nurse | 1600 Creekside Dr Ste 3700, Folsom, CA 95630 | 2019-04-08 |
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1447746607 | Heather Michellee Thrapp | Behavioral Analyst | 125 Oak Ravine Way, Folsom, CA 95630 | 2018-07-10 |
| 1700370483 | Loretta May Delgado | Behavior Technician | 322 Crow Cany, Folsom, CA 95630 | 2018-06-18 |
| 1417448176 | Sound Support Inc. | Hearing Instrument Specialist | 610 East Bidwell Street, Suite A, Folsom, CA 95630 | 2018-05-29 |
| 1548750144 | Don Peterson Md, Sugical Assisting | General Practice | Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 | 2018-05-18 |
| 1245733328 | American Heritage Hospice Inc | Hospice Care, Community Based | 1837 Iron Point Rd Ste 180, Folsom, CA 95630 | 2018-03-14 |
| Find all providers in zip 95630 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308345 | Stephanie Whatley | Optometrist | 2390 E Bidwell St Ste 400, Folsom, CA 95630 | 2018-09-04 |
| 1780036103 | Samantha Vavricek | Optometrist | 410 Palladio Pkwy, Ste 1625, Folsom, CA 95630-8829 | 2016-07-09 |
| 1346696812 | Dr. Palmer N. Lee, Od Inc | Optometrist | 421 Blue Ravine Rd Ste 300, Folsom, CA 95630-3821 | 2016-05-13 |
| 1124408695 | Christopher White | Optometrist | 138 Hazelmere Dr, Folsom, CA 95630-5517 | 2015-05-31 |
| 1538471172 | Soby A Russal | Optometrist | 1937 Macdade Boulevard, Store 2867, Folsom, PA 19033-1214 | 2010-07-12 |
| 1609007533 | Nguyen Hung Quach | Optometrist | 1880 Prairie City Rd, Suite 130, Folsom, CA 95630-9593 | 2009-07-27 |
| 1851541494 | Jenny Hyosun Park | Optometrist | 705 E Bidwell St Ste 10, Folsom, CA 95630-3315 | 2008-09-19 |
| 1871769950 | Folsom Optometry Center | Optometrist | 1115 E Bidwell St Ste 124, Folsom, CA 95630-5554 | 2008-05-07 |
| 1548456650 | Patricia May Roemer | Optometrist | 997 Glennfinnan Way, Folsom, CA 95630-6111 | 2007-09-21 |
| 1487849394 | Purvi D. Patel | Optometrist | 410 Palladio Pkwy Ste 1625, Folsom, CA 95630-8829 | 2007-09-13 |
| Find all providers in FOLSOM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.