Individual provider Active NPI

Makenna Alexandra Hartzell, OD

  • Optometrist
  • Roseville, CA
National Provider Identifier
1073389557
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35598 Issued in CA
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

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918004400 CA Practitioner - Optometry 7315384500 Reassigns benefits to 1 organization

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
Meister Eye and Laser Center, a Medical Group, IncGroup PAC ID 9739133190, 4 clinicians

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

LicenseStateTypeSpecialty
OPT35598CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Meister Eye & Laser Center, a Medical Group, Inc. CurrentSince Jun 27, 2024 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.

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

Verify at the official NPI Registry.