NPPES file of Aug 9, 2026

Jack M. Elizares, O.D.

Optometrist · Clearlake, CA

Jack M. Elizares, O.D. is an optometrist with a practice address in Clearlake, California, and NPI 1295715712, issued on Jan 19, 2006. Check the license (California 6646, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1295715712
Name
Jack M. Elizares
Credential
O.D.
Primary taxonomy
Optometrist 152W00000X
License number
6646 CA
Self-reported in NPPES; status is on the state search
Practice location
3610 Old Highway 53, Clearlake, CA 95422
Phone
(707) 994-8641
Enumerated
Jan 19, 2006
Record last updated
Mar 9, 2009 (not updated in 17 years: call before relying on the address or phone)
Fax
(707) 994-5858
Medicaid ID
SD0066460 CA
Medicare enrollment
Enrolled (PECOS I20100907000424); accepts Medicare assignment
Medical or professional school
University Of California - School Of Optometry, 1979
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Jack M. Elizares in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license 6646
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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Jack M. Elizares among 8,308 optometrist records in California

Jack M. Elizares, O.D. is one of 8,308 optometrist records with a practice address in California. 67% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 66% newer
  • In a Medicare fileNo · 67% of these records are
  • In the CMS Doctors and Clinicians fileYes · 43% of these records are
  • Graduated1979 · median 2008 among the 3,573 with a school on file
  • Record last updated2009 · 67% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Optometrist providers in California

There are 8,308 optometrist records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 optometrist records with the nearest ZIP codes

  1. Robert Bonner, O.D.Clearlake, CA 954221992706220
  2. William Hoyer, ODCloverdale, CA 954251477588051
  3. Bradley Hall, O.D.Santa Rosa, CA 954071326304247
  4. Lynette Kline, O.D.Fort Bragg, CA 954371881688380
  5. J. Smith, O.D.Fort Bragg, CA 954371184674152
  6. Mark Bowman, O.D.Santa Rosa, CA 954051780769182
  7. Peter Disalvo, ODSanta Rosa, CA 954051114088796
  8. Christopher Feahr, O.D.Santa Rosa, CA 954051326159658

Common questions

What is Jack M. Elizares, O.D.'s NPI number?

Jack M. Elizares, O.D.'s National Provider Identifier (NPI) is 1295715712, issued on Jan 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jack M. Elizares, O.D. located?

The NPPES record lists a practice address at 3610 Old Highway 53, Clearlake, CA, 95422. Phone: (707) 994-8641. Providers update this record themselves, so call before visiting.

How can I verify Jack M. Elizares, O.D.'s license?

NPPES lists California license number 6646, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.