KAITLIN ANNE SORACCO (NPI# 1881148179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881148179 |
| Entity Type | Individual |
| Full Name | KAITLIN ANNE SORACCO |
| Credential | O.D. |
| Practice Address |
817 Court St Ste 10 Jackson CA 95642-2156 |
| Mailing Address |
114 Mission Ranch Blvd Ste 50 Chico CA 95926-5137 |
| Practice Telephone | 2092232020 |
| Mailing Telephone | 9164232134 |
| Mailing Fax Number | 9164234477 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2017-11-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT33495-TLG | CA | Eye and Vision Services Providers |
| Street Address |
817 COURT ST STE 10 |
| City | JACKSON |
| State | CA |
| Zip Code | 95642-2156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992754246 | Janice Marie Mc George | Optometrist | 817 Court St Ste 10, Jackson, CA 95642-2156 | 2006-05-06 |
| 1568893659 | Capital Eye Medical Group | Ophthalmology | 817 Court St Ste 10, Jackson, CA 95642-2156 | 2013-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932666575 | Gold Country Health Initiative, LLC | Family Medicine | 820/830 State Highway 88, Jackson, CA 95642 | 2019-03-01 |
| 1053844902 | Kathryn Erosa | Pharmacist | 515 Highway 49 South, Jackson, CA 95642 | 2017-04-07 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1710130141 | Roland E Womack | Dentist | 511 Sutter St, Jackson, CA 95642 | 2008-10-29 |
| 1508929522 | Stanley M Ordonez | Dentist | 645 New York Ranch Rd, Jackson, CA 95642 | 2006-12-19 |
| 1942374996 | Thomas W Zeiler | Chiropractor | 665 New York Ranch Rd Suite 2, Jackson, CA 95642 | 2006-11-20 |
| 1023188968 | Cordelia Rose Slayter | Physical Therapist | 711 S State Hwy 49, Jackson, CA 95642 | 2006-11-08 |
| 1285744946 | Raleys | Pharmacy | 781 South Highway 49, Jackson, CA 95642 | 2006-08-30 |
| 1316996747 | Robert R. Bussell X | Physical Therapist | 813 Court Street, Ste 2, Jackon, CA 95642 | 2006-05-10 |
| 1861953135 | Chelsea Yule Solutions | Clinic/Center | 230 N Main St, Jackson, CA 95642 | 2019-03-28 |
| Find all providers in zip 95642 | ||||
| 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 |
|---|---|---|---|---|
| 1548884307 | Bricker B Buseth | Optometrist | 2500 Reynolds Rd, Jackson, MI 49201-9376 | 2020-06-07 |
| 1922667682 | Brittany Renee Bryant | Optometrist | 119 Stonebrook Pl Ste A, Jackson, TN 38305-3636 | 2019-06-06 |
| 1023504818 | Trent Wayne Martin | Optometrist | 1000 Vann Dr Ste A, Jackson, TN 38305-6062 | 2018-07-05 |
| 1417478835 | Mason Ross Womack | Optometrist | 810 Court St # 10, Jackson, CA 95642-2132 | 2017-07-06 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1174923189 | Lindsay Katharine Klumpp | Optometrist | 850 W North St, Ste. 100, Jackson, MI 49202-3196 | 2014-08-27 |
| 1700200227 | Mobile Vision LLC | Optometrist | 1737 Spring Arbor Rd # 164, Jackson, MI 49203-2701 | 2014-02-05 |
| 1831430925 | First Sight LLC | Optometrist | 1316 N State St, Jackson, MS 39202-2003 | 2013-03-14 |
| 1447506381 | Morgan Allyce Strand | Optometrist | 2954 E. Jackson Blvd, Jackson, MO 63755 | 2012-07-30 |
| 1083847776 | The Center for Sight P.C. | Optometrist | 3595 Ann Arbor Rd, Jackson, MI 49202-2703 | 2009-08-27 |
| Find all providers in JACKSON | ||||
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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.