Granite Pointe Eye Care, Inc.

LBN: Granite Pointe Eye Care, Inc.
Granite Pointe Eye Care, Inc. is an health care organization with primary practice located at 9221 Sierra College Blvd Suite 130, Roseville CA 95661-5919. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Granite Pointe Eye Care, Inc. can be contacted via phone (916) 797-6747, or through Okamoto, John M. via phone (916) 797-6747.

Contact Information

Primary practice address
9221 Sierra College Blvd Suite 130 Roseville CA 95661-5919
Fax: (916) 797-6728
Website:
Authorized official contact:
Name: Okamoto, John M. Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 9831 California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 9831 California
Eye and Vision Services Providers / Pediatrics 152WP0200X 9831 California
Eye and Vision Services Providers / Sports Vision 152WS0006X 9831 California

Profile Details

NPI number 1538245162
LBN Legal business name Granite Pointe Eye Care, Inc.
DBA Doing business as
Authorized official Okamoto, John M. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated May 21st, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538245162 NPPES
California MEDICAID GSD005440

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