Roseville Site for Vision Products, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D7262 Issued in CA

Legal business name

ROSEVILLE SITE FOR VISION PRODUCTS, INC.

Practice address

1095 Roseville SQ
Roseville, CA 95678-2809

Phone

(916) 782-9985

Fax

(916) 782-9987

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Larry Anthony Rinker

Title

Owner Optician

Phone

(916) 782-9985

Specialties & licenses 1

Addresses

Other names 1

• SITE FOR SORE EYES 572 Doing business as

Locations

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366645285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 ROSEVILLE SQ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782809",
            "telephone_number": "916-782-9985",
            "fax_number": "916-782-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 ROSEVILLE SQ",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956782809",
            "telephone_number": "916-782-9985",
            "fax_number": "916-782-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE SITE FOR VISION PRODUCTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RINKER",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER    OPTICIAN",
        "authorized_official_telephone_number": "916-782-9985",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D7262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SITE FOR SORE EYES 572",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Roseville Urology, Inc.
• Roseville Vision Center Inc an Optometric Corporation

• Optician in Roseville, CA
• Providers in Roseville, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.