NPIMap

Organization Active NPI

Granite Pointe Eye Care, Inc., an Optometric Corporation

  • Optometrist
  • Roseville, CA
National Provider Identifier
1538245162
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9831 Issued in CA
Legal business name
GRANITE POINTE EYE CARE, INC., AN OPTOMETRIC CORPORATION
Practice address
9221 Sierra College Blvd
Suite 130
Roseville, CA 95661-5919
Phone
(916) 797-6747
Fax
(916) 797-6728
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Tami Bliss
Title
Manager
Phone
(916) 838-5532

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 9831 CA Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 9831 CA
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X 9831 CA
Sports Vision OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WS0006X 9831 CA

Addresses

Primary practice location

9221 Sierra College Blvd
Suite 130
Roseville, CA 95661-5919

Mailing address

9221 Sierra College Blvd Ste 130
Roseville, CA 95661-5934
Phone (916) 797-6747

Other identifiers 1

IdentifierTypeStateIssuer
GSD005440MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031230000294 CA Part B Supplier - Clinic/Group Practice 4789582669 Receives reassigned benefits from 9 practitioners
2 other NPIs on this enrollment
Practice locations: Lincoln, CA; Roseville, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2113552Granite Pointe Eye Care, Inc9221 Sierra College Blvd Suite 130, Roseville, CA 95661Certificate of waiverMay 23, 2028

National Provider Directory

National Provider Directory

Locations

100 Gateway Dr
Ste 130
Lincoln, CA 95648
Phone (916) 434-6225

9221 Sierra College Blvd
#130
Roseville, CA 95661
Phone (916) 797-6747

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1538245162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 SIERRA COLLEGE BLVD STE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615934",
            "telephone_number": "916-797-6747",
            "fax_number": "916-797-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 SIERRA COLLEGE BLVD",
            "address_2": "SUITE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956615919",
            "telephone_number": "916-797-6747",
            "fax_number": "916-797-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE POINTE EYE CARE, INC., AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-838-5532"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9831",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "9831",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "9831",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "9831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.