Active NPI
Julie R Thornton, OD
- Optometrist
- Roseville, CA
National Provider Identifier
1023090693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP8600T
- Practice address
- 576 N Sunrise Ave
Suite 110
Roseville, CA 95661-2841 - Phone
- (916) 773-3937
- Fax
- (916) 773-3936
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP8600T | CA | Primary |
Addresses
Primary practice location
576 N Sunrise Ave
Suite 110
Roseville, CA 95661-2841
Mailing address
576 N Sunrise Ave
Suite 110
Roseville, CA 95661-2841
Phone (916) 773-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0086000 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP8600T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseville Optometry | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Roseville, CA
- NPI 1750663787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233532800000",
"number": "1023090693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 N SUNRISE AVE",
"address_2": "SUITE 110",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612841",
"telephone_number": "916-773-3937",
"fax_number": "916-773-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 N SUNRISE AVE",
"address_2": "SUITE 110",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612841",
"telephone_number": "916-773-3937",
"fax_number": "916-773-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "JULIE",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2009-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OP8600T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0086000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.