Individual provider Active NPI

Kristyna M Lensky Sipes, OD

  • Optometrist
  • Rocklin, CA
National Provider Identifier
1760565667
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13081T Issued in CA
Practice address
2351 Sunset Blvd Ste 190
Rocklin, CA 95765-4306
Phone
(916) 624-9396
Fax
(916) 624-9215
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13081T CA Primary

Addresses

Primary practice location

2351 Sunset Blvd Ste 190
Rocklin, CA 95765-4306

Mailing address

2351 Sunset Blvd Ste 190
Rocklin, CA 95765-4306
Phone (916) 624-9396

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
I20070703000365 CA Practitioner - Optometry 4284734344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
K and a Optometry IncGroup PAC ID 4880818277, 4 clinicians

Practice addresses (Care Compare)

2320 Sunset Blvd
Suite 110
Rocklin, CA 95765-4497
Phone (916) 624-9396

2351 Sunset Blvd
Rocklin, CA 95765-4306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13081TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
CK Vision Optometric, Inc. Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Michael J. Proiette O.D., Inc. Optometrist Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1760565667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 SUNSET BLVD STE 190",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654306",
            "telephone_number": "916-624-9396",
            "fax_number": "916-624-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 SUNSET BLVD STE 190",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654306",
            "telephone_number": "916-624-9396",
            "fax_number": "916-624-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENSKY SIPES",
        "first_name": "KRISTYNA",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13081T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

Verify at the official NPI Registry.