Fred Paul Guarcello, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

6453T Issued in CA

Practice address

1263 Pleasant Grove Blvd
Ste 100
Roseville, CA 95747-5886

Phone

(916) 773-1195

Fax

(916) 773-1187

NPI assigned

Jun 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Peter S. Klem Fred P. Guarcello PTR

  • Optometrist
  • Modesto, CA
  • NPI 1366600082
  NPD Authorized official
• Fred P. Guarcello, O.D.

  • Optometrist
  • Roseville, CA
  • NPI 1417078650
  NPD (past) Authorized official
• Fred P. Guarcello, OD

  • Optometrist
  • Modesto, CA
  • NPI 1902935893
  NPD (past) Authorized official

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1700812658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 PLEASANT GROVE BLVD",
            "address_2": "STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475886",
            "telephone_number": "916-773-1195",
            "fax_number": "916-773-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1263 PLEASANT GROVE BLVD",
            "address_2": "STE 100",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957475886",
            "telephone_number": "916-773-1195",
            "fax_number": "916-773-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARCELLO",
        "first_name": "FRED",
        "middle_name": "PAUL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "6453T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0064530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Nichole Grossi, PA
• Stephen Grouell, PH.D.
• Alan L. Grove, MD
• Diana Groves
• Growth and Change Counseling Inc
• Guardian Wellness, LLC
• Guardianvest
• Sydney Gudino
• Jacqueline Guerra
• Mariano W Guerra, DDS

• Corneal and Contact Management Optometrist in Roseville, CA
• Providers in Roseville, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.