Carlson Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA9216 Issued in CA

Legal business name

CARLSON OPTOMETRY INC

Practice address

2200 5TH Ave
Oroville, CA 95965-5816

Phone

(530) 533-1975

Fax

(530) 533-4466

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey Peter Carlson, O.D.

Title

President

Phone

(530) 533-1975

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1063687820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 5TH AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655816",
            "telephone_number": "530-533-1975",
            "fax_number": "530-533-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 5TH AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655816",
            "telephone_number": "530-533-1975",
            "fax_number": "530-533-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLSON OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-533-1975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA9216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ52852Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410010871",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0092160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicky Kay Caporale, RN
• Omar Carbajal, CRNA
• Jamie Cardoza, RN
• Allison Dale Cardwell
• Alison Carlile
• Geoffrey Peter Carlson, O.D.
• Candice Carr
• Lisa Marie Carrillo, DPO 35
• Anna Cashman, RD CDF
• Ryan James Cashman, L.AC.

• Optometrist in Oroville, CA
• Providers in Oroville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.