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Elk Grove Optometry A Professional Corporation

Optometrist in Elk Grove, CA · enumerated 2006 · authorized official David Kageyama, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306895545

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Registry record

Entity type Organization (Type 2)
Legal business name Elk Grove Optometry A Professional Corporation
Practice address 9401 E Stockton Blvd, Ste 105, Elk Grove, CA, 95624
Phone (916) 686-4937
Fax (916) 686-4469
Enumeration date May 6, 2006
Last updated in NPPES Oct 29, 2013

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name David Kageyama
Title President
Phone (916) 686-4937

Other identifiers

Identifier Type State Issuer
GDS00190 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-10-29. Verify at npiregistry.cms.hhs.gov.
Where is Elk Grove Optometry A Professional Corporation located?
The practice location on file with NPPES is in Elk Grove, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-10-29.