OrganizationActive
Jack M. Elizares Optometric Corporation
NPI 1164932976 · Optometrist · Clearlake, CA
Jack M. Elizares Optometric Corporation is a Optometrist organization in Clearlake, CA (NPI 1164932976).
Provider details
- NPI number
- 1164932976
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jack Elizares, Ceo, Cfo(707) 994-8641
- License
- 6646 (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3610 Old Hwy 53
Clearlake, CA 95422-9543
Phone: (707) 994-8641
Fax: (707) 994-5858
Street-level locationGet directions
Mailing address
3610 Old Highway 53
Clearlake, CA 95422-9253
Registry dates
- Enumerated
- 2017-10-06
- Last updated
- 2017-10-06
Frequently asked questions
- What is Jack M. Elizares Optometric Corporation's NPI number?
- Jack M. Elizares Optometric Corporation's National Provider Identifier (NPI) is 1164932976, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack M. Elizares Optometric Corporation?
- Jack M. Elizares Optometric Corporation is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Jack M. Elizares Optometric Corporation located?
- Jack M. Elizares Optometric Corporation's practice location on file with NPPES is 3610 Old Hwy 53, Clearlake, CA 95422-9543.
- What is Jack M. Elizares Optometric Corporation's phone number?
- The practice phone number listed in the NPPES registry for Jack M. Elizares Optometric Corporation is (707) 994-8641.
- Who is the authorized official for Jack M. Elizares Optometric Corporation?
- The authorized official listed on Jack M. Elizares Optometric Corporation's NPPES record is Jack Elizares, Ceo, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack M. Elizares Optometric Corporation's NPI active?
- Yes — Jack M. Elizares Optometric Corporation's NPI (1164932976) is active in the NPPES registry as of the last update on 2017-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.