Individual provider Active NPI

Lizabeth Paulino Thomas, OD

  • Optometrist
  • Grass Valley, CA
National Provider Identifier
1679311674
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35796 Issued in CA
Practice address
400 Sierra College Dr Ste a
Grass Valley, CA 95945-5093
Phone
(530) 272-3411
NPI assigned
Jul 16, 2024
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35796 CA Primary
Corneal and Contact Management Optometrist 152WC0802X 35796 CA

Addresses

Primary practice location

400 Sierra College Dr Ste a
Grass Valley, CA 95945-5093

Mailing address

400 Sierra College Dr Ste a
Grass Valley, CA 95945-5093
Phone (530) 272-3411

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
I20240923001893 CA Practitioner - Optometry 2062953615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra View Medical Eye IncGroup PAC ID 7113941808, 6 clinicians

Practice addresses (Care Compare)

400 Sierra College Dr
Suite a
Grass Valley, CA 95945-5093
Phone (530) 272-3411

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chapa-de Indian Health Program, Inc. CurrentSince Nov 15, 2025 Accepting new patients
Sierra View Medical Eye., Inc Optometrist CurrentSince Jul 15, 2024 Accepting new patients
Gregory J Porter MD Inc PastSince Jul 21, 2024 Accepting new patients

Locations

11670 Atwood Rd
Auburn, CA 95603
Phone (530) 887-2800

1350 E Main St
Grass Valley, CA 95945
Phone (530) 477-8545

400 Sierra College Dr
Ste A
Grass Valley, CA 95945
Phone (530) 272-3411

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1679311674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SIERRA COLLEGE DR STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455093",
            "telephone_number": "530-272-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SIERRA COLLEGE DR STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455093",
            "telephone_number": "530-272-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LIZABETH",
        "middle_name": "PAULINO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35796",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "35796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.