NPIMap

Organization Active NPI

Roseville Optometry Associates

  • Optometrist
  • Roseville, CA
National Provider Identifier
1891810834
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8600T Issued in CA
Legal business name
ROSEVILLE OPTOMETRY ASSOCIATES
Practice address
576 North Sunrise Ave.
Suite 110
Roseville, CA 95661
Phone
(916) 773-3937
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Julie Thornton, O.D.
Title
Optometrist
Phone
(916) 773-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 8600T CA Primary

Addresses

Primary practice location

576 North Sunrise Ave.
Suite 110
Roseville, CA 95661

Mailing address

576 North Sunrise Ave.
Suite 110
Roseville, CA 95661
Phone (916) 773-3937

Other identifiers 1

IdentifierTypeStateIssuer
SD0086000MedicaidCA

National Provider Directory

National Provider Directory

Locations

576 N Sunrise Ave
#10
Roseville, CA 95661
Phone (916) 773-3937

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1891810834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 NORTH SUNRISE AVE.",
            "address_2": "SUITE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-773-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 NORTH SUNRISE AVE.",
            "address_2": "SUITE 110",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "95661",
            "telephone_number": "916-773-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE OPTOMETRY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "916-773-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8600T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0086000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 12, 2008; 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.