Roseville Vision Center Inc an Optometric Corporation

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

ROSEVILLE VISION CENTER INC AN OPTOMETRIC CORPORATION

Practice address

1213 Pleasant Grove Blvd
Roseville, CA 95678-6971

Phone

(916) 789-1959

Fax

(916) 789-1961

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Paul Rene Perron, ODNPI 1780731638

Title

Owner

Phone

(916) 789-1959

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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

• Paul Rene Perron, O.D

  • Optometrist
  • Roseville, CA
  • NPI 1780731638
  Medicare reassignment NPD Authorized official
• Newton Nguyen, O.D.

  • Optometrist
  • Roseville, CA
  • NPI 1043507155
  Medicare reassignment NPD
• Veronica Joann Barber, O.D.

  • Optometrist
  • Roseville, CA
  • NPI 1700859311
  NPD (past)

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1922566116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 PLEASANT GROVE BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786971",
            "telephone_number": "916-789-1959",
            "fax_number": "916-789-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 PLEASANT GROVE BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786971",
            "telephone_number": "916-789-1959",
            "fax_number": "916-789-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEVILLE VISION CENTER INC AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "PERRON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-789-1959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseville Site for Vision Products, Inc.
• Roseville Surgery Center, LP
• Roseville Surgical Alliance Surgery Center, Inc.
• Roseville Surgical Alliance, Inc.
• Roseville Urology, Inc.
• Alyssa Lorraine Rosevold, P.T.
• Rosewood
• Allan Sutherland Ross, D.C.
• Barbara Elizabeth Ross, D.P.M.
• Jennifer Nicole Ross

• 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 Oct 12, 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.