Organization
SACRAMENTO EYE CONSULTANTS A MED CORP
Active
Other names
Sacramento Eye Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB WELLINGTON BRUBAKER MD (PHYSICIAN)
(916) 649-1515
Entity
Organization
Contact information
Practice address
1515 RESPONSE RD, SACRAMENTO, CA 95815-4805
(916) 649-1515
(916) 649-1516
Mailing address
1515 RESPONSE RD, SACRAMENTO, CA 95815-4805
(916) 649-1515
(916) 649-1516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0102650
—
CA
Enumeration date
11/17/2006
Last updated
10/07/2025
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