JENNIFER J. EVERETT OPTOMETRY, P.C. (NPI# 1093147910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093147910 |
| Entity Type | Organization |
| Organization Name | JENNIFER J. EVERETT OPTOMETRY, P.C. |
| Other Organization Name | CUSTOM EYES OPTOMETRY |
| Practice Address |
10271 Fairway Dr Ste 100 Roseville CA 95678-3542 |
| Practice Telephone | 9167862020 |
| Mailing Telephone | 9167862020 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | DR. JENNIFER J EVERETT (OPTOMETRIST) |
| Authorized Official Telephone | 9167862020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 12400 | CA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Custom Eyes Optometry | Doing Business As Name - Organization |
| Street Address |
10271 FAIRWAY DR STE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-3542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| 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 |
|---|---|---|---|---|
| 1629622543 | Alyssa Akimi Matsuo | Optometrist | 9221 Sierra College Blvd Ste 130, Roseville, CA 95661-5919 | 2019-07-29 |
| 1558828483 | Thrive Eyes LLC | Optometrist | 100 S Harding Blvd Ste 100, Roseville, CA 95678-3360 | 2019-02-27 |
| 1407332182 | Camille Weissenberg | Optometrist | 1422 Blue Oaks Blvd Ste 150, Roseville, CA 95747-5196 | 2018-07-16 |
| 1699275735 | Shahrokh Khoshsohbat | Optometrist | 2100 Snelling Ave N Ste 39, Roseville, MN 55113-6030 | 2018-02-15 |
| 1609393305 | Liana Bambi Switzer | Optometrist | 1010 Pleasant Grove Blvd Ste 120, Roseville, CA 95678-6118 | 2017-08-24 |
| 1396190864 | Alicia Marie Johnson | Optometrist | 32443 Gratiot Ave, Roseville, MI 48066-1154 | 2016-05-03 |
| 1609117035 | Jennifer J Everett | Optometrist | 10271 Fairway Dr, Suite 100, Roseville, CA 95678-3540 | 2013-03-11 |
| 1861756454 | Carmen Perez Moreno | Optometrist | 1125 Galleria Blvd, Roseville, CA 95678-1935 | 2012-06-27 |
| 1275848202 | Macarius, Max & Daniel | Optometrist | 1128 Galleria Blvd, Roseville, CA 95678-1992 | 2010-08-14 |
| 1063725919 | Erin Noel Hitzelburger | Optometrist | 32600 Gratiot Ave, Roseville, MI 48066-1126 | 2010-07-21 |
| Find all providers in ROSEVILLE | ||||
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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.