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GRANITE POINTE EYE CARE INC. NPI 1538245162


NPI Information

NPI: 1538245162
Provider Name: GRANITE POINTE EYE CARE, INC.
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 05D2113552

Address:
9221 SIERRA COLLEGE BLVD
SUITE 130
ROSEVILLE, CA
ZIP 95661
Phone: (916) 797-6747
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GRANITE POINTE EYE CARE, INC. is an optometrist in Roseville, CA. The provider is 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. GRANITE POINTE EYE CARE, INC. NPI is 1538245162. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9221 SIERRA COLLEGE BLVD
SUITE 130
ROSEVILLE, CA
ZIP 95661-919
Phone: (916) 797-6747
Fax: (916) 797-6728

The provider's authorized official is John M. Okamoto .
The authorized official title is Optometrist/owner and has the following contact phone number (916) 797-6747.

The CLIA number assigned to this NPI record is 05D2113552 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 5/21/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact Management9831CALIFORNIANo
2152WP0200XOptometristPediatrics9831CALIFORNIANo
3152WS0006XOptometristSports Vision9831CALIFORNIANo
4152W00000XOptometrist9831CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SD0098311MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAPPIN#
2ZZZ27265ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAGROUP #
3GSD005440MEDICAIDCALIFORNIA
45002670001MEDICARE NSCCALIFORNIA
5U77101MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.