Kevin G. Lockhart, O.D., Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

9297T Issued in CA

Legal business name

KEVIN G. LOCKHART, O.D., INC

Practice address

5520 Douglas Blvd
Suite 110
Granite Bay, CA 95746-6288

Phone

(916) 791-5490

Fax

(916) 791-3099

NPI assigned

Aug 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vicki Lee Lockhart

Title

Office Manager

Phone

(916) 791-5490

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kambiz Khorram, O.D.

  • Optometrist
  • El Dorado Hills, CA
  • NPI 1548310105
  NPD
• Mahnoush Rafat, OD

  • Optometrist
  • Citrus Heights, CA
  • NPI 1972244218
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1033365861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 DOUGLAS BLVD",
            "address_2": "SUITE 110",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466288",
            "telephone_number": "916-791-5490",
            "fax_number": "916-791-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 DOUGLAS BLVD",
            "address_2": "SUITE 110",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466288",
            "telephone_number": "916-791-5490",
            "fax_number": "916-791-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN G. LOCKHART, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-791-5490"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9297T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2230825",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Jordan Chambers
• Trina Juarez
• Neil Kumar Kalia, D.C.
• Amanpreet Kaur
• Kenneth R, Marti DDS Inc.
• Khushwinder S Garcha MD, Inc
• Ashley King
• Tyler Knobel
• Richard Koenig
• Brian Kolodin

• Optometrist in Granite Bay, CA
• Providers in Granite Bay, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.