Individual provider Active NPI

Samantha Rose Barnes, OD

  • Optometrist
  • Roseville, CA
National Provider Identifier
1326721390
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35578 Issued in CA
Practice address
576 N Sunrise Ave Ste 110
Roseville, CA 95661-2846
Phone
(916) 773-3937
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35578 CA Primary

Addresses

Primary practice location

576 N Sunrise Ave Ste 110
Roseville, CA 95661-2846

Mailing address

5656 Terrace Dr
Rocklin, CA 95765-1742
Phone (916) 477-9098

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
I20250319001076 CA Practitioner - Optometry 0547614653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

52 College Way
Auburn, CA 95603-5001
Phone (530) 823-8355

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35578CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CK Vision Optometric, Inc. Optometrist CurrentSince Dec 31, 2024 Accepting new patients
Roseville Optometry Optometrist CurrentSince May 5, 2026 Accepting new patients
Tiffany Chin PastSince Dec 31, 2024 Accepting new patients
Roseville Optometry Associates Optometrist PastSince Aug 13, 2023 Accepting new patients

Locations

52 College Way
Auburn, CA 95603
Phone (530) 823-8353

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1326721390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 TERRACE DR",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957651742",
            "telephone_number": "916-477-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N SUNRISE AVE STE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956612846",
            "telephone_number": "916-773-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.