Active NPI
Mahnoush Rafat, OD
- Optometrist
- Citrus Heights, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35115
- Practice address
- 5959 Greenback LN Ste 120&130
Citrus Heights, CA 95621-4700 - Phone
- (916) 726-1818
- NPI assigned
- Apr 1, 2022
- Last updated
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Vision Optometrist | 152WS0006X | 35115 | CA | |
| Vision Therapy Optometrist | 152WV0400X | 35115 | CA | |
| Optometrist | 152W00000X | 35115 | CA | Primary |
Addresses
Primary practice location
5959 Greenback LN Ste 120&130
Citrus Heights, CA 95621-4700
Mailing address
2401 Ruby CT
Rocklin, CA 95677-4224
Phone (916) 420-6506
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5959 Greenback LN
Suite 130
Citrus Heights, CA 95621-4700
Phone (916) 726-1818
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35115 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin G. Lockhart, O.D., Inc | Optometrist | Current | Accepting new patients |
| Eye Center Optometrics, a Professional Corporation | Optometrist | Current | Accepting new patients |
| El Dorado Hills Vision Center Optometry Inc. | Optometrist | Current | Accepting new patients |
| Granite Bay Vision Center Optometry, Inc. | Optometrist | Current | Accepting new patients |
| Eye Center Optometrics, a Professional Corporation | Optometrist | Current | Accepting new patients |
| Eye Center Optometrics, a Professional Corporation | Optometrist | Past | Accepting new patients |
| First Optometric Care of Northern California PC | Optometrist | Past | Accepting new patients |
| Eyecenter Optometrics, a Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
5959 Greenback Ln
Ste 130
Citrus Hts, CA 95621
Phone (916) 726-1818
3955 Park Dr
Ste 1
El Dorado Hills, CA 95762
Phone (916) 292-5666
421 Blue Ravine Rd
Ste 300
Folsom, CA 95630
Phone (916) 452-4706
2200 Sunrise Blvd
Ste 120
Gold River, CA 95670
Phone (916) 852-1600
5520 Douglas Blvd
Ste 110
Granite Bay, CA 95746
Phone (916) 791-5490
6809 Five Star Blvd
Ste 100A
Rocklin, CA 95677
Phone (916) 624-2020
2831 J St
Sacramento, CA 95816
Phone (916) 441-5800
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Citrus Heights, CA
- NPI 1245369024
-
- Optometrist
- El Dorado Hills, CA
- NPI 1295141562
-
dba Granite Bay Vision Care Optometry
- Optometrist
- Granite Bay, CA
- NPI 1477243301
-
dba EYEcenter Optometric
- Optometrist
- Citrus Heights, CA
- NPI 1619440567
-
- Optometrist
- Granite Bay, CA
- NPI 1033365861
-
- Optometrist
- Rocklin, CA
- NPI 1275869166
-
- Optometrist
- Gold River, CA
- NPI 1346576295
-
dba Oak Tree Optometry
- Optometrist
- Fair Oaks, CA
- NPI 1295320778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1972244218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 RUBY CT",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956774224",
"telephone_number": "916-420-6506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 GREENBACK LN STE 120&130",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956214700",
"telephone_number": "916-726-1818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAFAT",
"first_name": "MAHNOUSH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-01",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "CA",
"license": "35115",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "35115",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.