Individual provider Active NPI

Margaret D. Raulino, O.D.

  • Optometrist
  • Tahoe City, CA
National Provider Identifier
1902862212
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9655 Issued in CA
Practice address
1225 North Lake Blvd
Tahoe City, CA 96145-7170
Phone
(530) 583-5004
Fax
(530) 583-0217
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 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 9655 CA Primary

Addresses

Primary practice location

1225 North Lake Blvd
Tahoe City, CA 96145-7170

Mailing address

PO Box 7170
Tahoe City, CA 96145-7170
Phone (530) 583-5004

Other identifiers 1

IdentifierTypeStateIssuer
GSD001010MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100429000494 CA Practitioner - Optometry 4082741780 Reassigns benefits to 1 organization
Practice locations: Tahoe City, CA
I20170619002616 NV Practitioner - Optometry 4082741780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michelle Wong Optometry PCGroup PAC ID 7719318781, 9 clinicians
Wilson, Conkey and Associates P.C.Group PAC ID 0446299846, 9 clinicians

Practice addresses (Care Compare)

18601 Wedge Pkwy
Suite 2C
Reno, NV 89511-3321
Phone (775) 827-3937

620 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 689-4519

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9655CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Jun 15, 2017 Accepting new patients
Wilson, Conkey & Associates, P.C. Optometrist CurrentSince Jun 15, 2017 Accepting new patients
Michelle Wong Optometry PC Optometrist CurrentSince Sep 29, 2025 Accepting new patients
Fyidoctors of California, Inc. Optometrist CurrentSince May 9, 2022 Accepting new patients
Michelle Wong Optometry PC Optometrist CurrentSince Sep 29, 2025 Accepting new patients
Michelle Wong Optometry PC Optometrist Past Accepting new patients
Michelle Wong Optometry PC Optometrist Past Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

114 N Sunrise Ave
Ste C4
Roseville, CA 95661
Phone (916) 786-2212

18601 Wedge Pkwy
Ste 2B
Reno, NV 89511
Phone (775) 358-1020

18601 Wedge Pkwy
Ste 2C
Reno, NV 89511
Phone (775) 358-1020

620 Sierra Rose Dr
Reno, NV 89511
Phone (775) 689-4519

1965 Baring Blvd
Sparks, NV 89434
Phone (775) 358-1020

Interoperability endpoints

  • Direct secure messaging: margaret.raulino@direct.revolutionehr.com

Organizations & group practices 7

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1902862212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7170",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "961457170",
            "telephone_number": "530-583-5004",
            "fax_number": "530-583-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NORTH LAKE BLVD",
            "city": "TAHOE CITY",
            "state": "CA",
            "postal_code": "961457170",
            "telephone_number": "530-583-5004",
            "fax_number": "530-583-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAULINO",
        "first_name": "MARGARET",
        "middle_name": "D.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahoe City, CA

Sources for this page

Verify at the official NPI Registry.