Blue Oaks Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11441T Issued in CA

Legal business name

BLUE OAKS EYECARE INC

Practice address

1422 Blue Oaks Blvd
Suite 150
Roseville, CA 95747-5196

Phone

(916) 783-3937

Fax

(916) 783-3935

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kristie My Trang, O.D.NPI 1992774699

Title

Owner/Presiden

Phone

(916) 783-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Kristie My Trang, O.D.

  • Optometrist
  • Roseville, CA
  • NPI 1992774699
  Medicare reassignment Care Compare group NPD Authorized official
• Camille Weissenberg, OD

  • Optometrist
  • Roseville, CA
  • NPI 1407332182
  Medicare reassignment Care Compare group NPD
• Saliha Haq, OD

  • Optometrist
  • Roseville, CA
  • NPI 1518831643
  Medicare reassignment NPD
• Andrew Hiroshi Kageyama, OD

  • Optometrist
  • Elk Grove, CA
  • NPI 1437882636
  Medicare reassignment NPD
• Jennifer Elizabeth Wademan, O.D.

  • Optometrist
  • Folsom, CA
  • NPI 1023274396
  NPD (past)

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1679862544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 BLUE OAKS BLVD",
            "address_2": "SUITE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475196",
            "telephone_number": "916-783-3937",
            "fax_number": "916-783-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 BLUE OAKS BLVD",
            "address_2": "SUITE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475196",
            "telephone_number": "916-783-3937",
            "fax_number": "916-783-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE OAKS EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "TRANG",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_middle_name": "MY",
        "authorized_official_title_or_position": "OWNER/PRESIDEN",
        "authorized_official_telephone_number": "916-783-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11441T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Bloom, R.N.
• Lindsey Bloom, ACCNS-AG
• Leah Bloomfield-Strange, DO
• Blossom Psychiatry LLC
• Blossoming Minds Psychological Services PC
• Blue Sky Counseling Center Corporation
• Bonnie Beau Blue, MFT
• Phil Bluemel, M.A., LMFT
• Charlotte Joan Bobbitt, LMFT
• Kristie A Bobolis, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.