Organization Active NPI

Thrive Eyes LLC

  • Optometrist
  • Roseville, CA
National Provider Identifier
1558828483
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THRIVE EYES LLC
Doing business as
OPTOMETRY
Practice address
100 S Harding Blvd Ste 100
Roseville, CA 95678-3360
Phone
(916) 549-4839
Fax
(916) 783-8649
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Mr. Roman Y Golas, O.D
Title
Optometry
Phone
(916) 549-4838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 S Harding Blvd Ste 100
Roseville, CA 95678-3360

Mailing address

6280 Wells Ave
Loomis, CA 95650-9341
Phone (916) 549-4838

Other names 1

  • OPTOMETRY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1558828483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 WELLS AVE",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509341",
            "telephone_number": "916-549-4838",
            "fax_number": "916-783-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S HARDING BLVD STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956783360",
            "telephone_number": "916-549-4839",
            "fax_number": "916-783-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "GOLAS",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OPTOMETRY",
        "authorized_official_telephone_number": "916-549-4838",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 27, 2019; 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.