Individual provider Active NPI

Lauren Narvaez Van Winkle, O.D.

  • Optometrist
  • Roseville, CA
National Provider Identifier
1275723140
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13272TPA Issued in CA
Practice address
9260 Sierra College Blvd
Suite 500
Roseville, CA 95661-5927
Phone
(916) 791-2526
Fax
(916) 791-2561
NPI assigned
Jul 27, 2007
Last updated
Mar 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT13272TPA CA Primary

Addresses

Primary practice location

9260 Sierra College Blvd
Suite 500
Roseville, CA 95661-5927

Mailing address

9260 Sierra College Blvd
Suite 500
Roseville, CA 95661-5927
Phone (916) 791-2526

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
I20110328000681 CA Practitioner - Optometry 6002099116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8630 Sierra College Blvd
Suite 100
Roseville, CA 95661-6064
Phone (916) 791-2526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13272TPACAMDOptometrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1275723140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 SIERRA COLLEGE BLVD",
            "address_2": "SUITE 500",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615927",
            "telephone_number": "916-791-2526",
            "fax_number": "916-791-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 SIERRA COLLEGE BLVD",
            "address_2": "SUITE 500",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615927",
            "telephone_number": "916-791-2526",
            "fax_number": "916-791-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN WINKLE",
        "first_name": "LAUREN",
        "middle_name": "NARVAEZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13272TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.