Individual provider Active NPI

Elizabeth Boliard, OD

  • Optometrist
  • Rocklin, CA
National Provider Identifier
1124736178
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35353 Issued in CA
Practice address
2320 Sunset Blvd Ste 110
Rocklin, CA 95765-4497
Phone
(916) 624-9396
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 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 35353 CA Primary

Addresses

Primary practice location

2320 Sunset Blvd Ste 110
Rocklin, CA 95765-4497

Mailing address

2320 Sunset Blvd Ste 110
Rocklin, CA 95765-4497
Phone (916) 624-9396

Other names 1

  • Elizabeth O'Neill Former name

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
I20230216000861 CA Practitioner - Optometry 6608248869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K and a Optometry IncGroup PAC ID 4880818277, 4 clinicians

Practice addresses (Care Compare)

2320 Sunset Blvd
Suite 110
Rocklin, CA 95765-4497
Phone (916) 624-9396

2351 Sunset Blvd
Rocklin, CA 95765-4306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14495CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Optometry Optometrist CurrentSince May 5, 2026 Accepting new patients
Roseville Optometry Associates Optometrist PastSince Nov 13, 2022 Accepting new patients
Michael J. Proiette O.D., Inc. Optometrist PastSince Feb 1, 2023 Accepting new patients

Locations

576 N Sunrise Ave
Ste 110
Roseville, CA 95661
Phone (916) 773-3937

Organizations & group practices 4

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1124736178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 SUNSET BLVD STE 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654497",
            "telephone_number": "916-624-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 SUNSET BLVD STE 110",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654497",
            "telephone_number": "916-624-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIARD",
        "first_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "O'NEILL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.