Active NPI
Makenna Alexandra Hartzell, OD
- Optometrist
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT35598
- Practice address
- 1386 Lead Hill Blvd Ste 140
Roseville, CA 95661-2936 - Phone
- (916) 318-7821
- Fax
- (916) 723-4449
- NPI assigned
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- No
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 | OPT35598 | CA | Primary |
Addresses
Primary practice location
1386 Lead Hill Blvd Ste 140
Roseville, CA 95661-2936
Mailing address
1386 Lead Hill Blvd Ste 140
Roseville, CA 95661-2936
Phone (916) 318-7821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1386 Lead Hill Blvd
Suite 140
Roseville, CA 95661-2936
Phone (916) 318-7821
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT35598 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meister Eye & Laser Center, a Medical Group, Inc. | Current | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients |
Locations
75 Enterprise
Ste 200
Aliso Viejo, CA 92656
Phone (949) 688-6205
50 Iron Point Cir
Ste 130
Folsom, CA 95630
Phone (916) 222-3523
1386 Lead Hill Blvd
Ste 140
Roseville, CA 95661
Phone (916) 318-7821
1524 Eureka Rd
Roseville, CA 95661
Phone (916) 318-7821
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Roseville, CA
- NPI 1033294665
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1073389557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1386 LEAD HILL BLVD STE 140",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612936",
"telephone_number": "916-318-7821",
"fax_number": "916-723-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1386 LEAD HILL BLVD STE 140",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612936",
"telephone_number": "916-318-7821",
"fax_number": "916-723-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTZELL",
"first_name": "MAKENNA",
"middle_name": "ALEXANDRA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-27",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT35598",
"primary": true
}
],
"identifiers": [],
"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 Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.