Jack M. Elizares Optometric Corporation

ActiveOrganizationOptometry
NPI issued: October 6, 2017

Quick Facts

NPI Number
1164932976
TypeOrganization
StatusActive
SpecialtyOptometry
Taxonomy152W00000X — Optometry
Phone
(707) 994-8641
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1164932976)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (October 6, 2017)
Data source: CMS NPPES

Provider Overview

JACK M. ELIZARES OPTOMETRIC CORPORATION is a Optometry provider based in Clearlake, CA who has been registered with CMS since 2017. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1164932976
Provider TypeOrganization
StatusActive
Enumeration DateOctober 6, 2017

Practice Location

CityClearlake
StateCA
ZIP Code95422-9543
Phone(707) 994-8641

Specialties & Licenses

★ Primary
SpecialtyOptometry
Taxonomy Code152W00000X
License StateCA

Mailing Address

CityClearlake
StateCA
ZIP Code95422-9543
Phone(707) 994-8641
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1164932976 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1164932976for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1164932976 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Optometry

Specialists in Optometry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Optometryproviders →
📊
95,009
Optometry Providers in the US

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Robert Bonner, O.D

📍 Clearlake, CA 95422-9100

Jack Elizares, O.D

📍 Clearlake, CA 95422-9253

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View all Optometry providers in California→

People Also Ask

What is Jack M. Elizares Optometric Corporation's NPI number?
Jack M. Elizares Optometric Corporation's NPI number is 1164932976, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack M. Elizares Optometric Corporation's NPI currently active?
Yes, Jack M. Elizares Optometric Corporation's NPI status is Active as of the latest CMS NPPES database updates.
What does Jack M. Elizares Optometric Corporation specialize in?
Jack M. Elizares Optometric Corporation specializes in Optometry. The healthcare taxonomy code associated with this specialty is 152W00000X.
Where does Jack M. Elizares Optometric Corporation practice?
Jack M. Elizares Optometric Corporation practices in Clearlake, CA 95422-9543.
When was Jack M. Elizares Optometric Corporation's NPI issued?
Jack M. Elizares Optometric Corporation's NPI was issued on October 6, 2017.
What is Jack M. Elizares Optometric Corporation's provider type?
Jack M. Elizares Optometric Corporation is registered as an Organization under CMS NPI Type 2.