Active NPI
Thrive Eyes LLC
- Optometrist
- Roseville, CA
National Provider Identifier
1558828483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryNPI 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.