GRANITE POINTE EYE CARE, INC.
NPI 1538245162
Optometrist in Roseville, CA
NPI Status: Active since October 27, 2006
Contact Information
9221 SIERRA COLLEGE BLVD
SUITE 130
ROSEVILLE, CA
ZIP 95661
Phone: (916) 797-6747
Fax: (916) 797-6728
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Optometrist
- Accepts Insurance
- CLIA Number: 05D2113552
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-23-2026
About GRANITE POINTE EYE CARE, INC.
This page provides the complete NPI Profile along with additional information for Granite Pointe Eye Care, Inc., a provider established in Roseville, California operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1538245162 assigned on October 2006. The practitioner's primary taxonomy code is 152W00000X with license number 9831 (CA). The provider is registered as an organization and their NPI record was last updated August 2025. Granite Pointe Eye Care, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Tami Bliss (Manager)
- NPI
- 1538245162
- Provider Name
- GRANITE POINTE EYE CARE, INC.
- Entity Type
- Organization
- Location Address
- 9221 SIERRA COLLEGE BLVD SUITE 130 ROSEVILLE, CA 95661
- Location Phone
- (916) 797-6747
- Location Fax
- (916) 797-6728
- Mailing Address
- 9221 SIERRA COLLEGE BLVD SUITE 130 ROSEVILLE, CA 95661
- Mailing Phone
- (916) 797-6747
- Mailing Fax
- (916) 797-6728
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-27-2006
- Last Update Date
- 08-21-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 9831
- License State
- CA
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152WC0802X | Eye and Vision Services Providers | Optometrist | 9831 (CA) |
| 2 | 152WP0200X | Eye and Vision Services Providers | Optometrist | 9831 (CA) |
| 3 | 152WS0006X | Eye and Vision Services Providers | Optometrist | 9831 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07S HSA - EPO
- BlueCross B15S $0 virtual care from Teladoc Health � - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| GSD005440 | MEDICAID (05) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2113552
- Facility Type
- Physician Office
- Certificate Effective Date
- May 24, 2024
- Certificate Expiration Date
- May 23, 2026
- Laboratory Director
- JOHN OKAMOTO, TPL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Granite Pointe Eye Care, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 2 | 4 | 5 | 1 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 4 | 4 | 10 | 1 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 4 + 4 + 1 + 0 + 1 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1538245162 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760462956 | DR. JOHN M OKAMOTO O.D. Individual | Optometrist | 9221 SIERRA COLLEGE BLVD SUITE 130 ROSEVILLE, CA 95661 (916) 797-6747 |
| 1790758530 | SALAH A. SHERIF M.D. Individual | Emergency Medicine | 9221 SIERRA COLLEGE BLVD STE 300 ROSEVILLE, CA 95661 (916) 780-1343 |
| 1962744623 | URGENT MD INC Organization | Clinic/Center (Urgent Care) | 9221 SIERRA COLLEGE BLVD ROSEVILLE, CA 95661 (815) 713-2600 |
| 1972520641 | DR. MITRA AYAZIFAR MD Individual | Ophthalmology | 9221 SIERRA COLLEGE BLVD SUITE 130 ROSEVILLE, CA 95661 (916) 797-6747 |
| 1962783928 | CAPITAL EYE MEDICAL GROUP Organization | Ophthalmology | 9221 SIERRA COLLEGE BLVD SUITE 130 ROSEVILLE, CA 95661 (916) 797-6747 |
| 1861579641 | DR. FRANCES W. LEUNG O.D. Individual | Optometrist | 9221 SIERRA COLLEGE BLVD SUITE 130 ROSEVILLE, CA 95661 (916) 797-6747 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538245162, enumerated in the NPI registry as an "organization" on October 27, 2006
The provider is located at 9221 Sierra College Blvd Suite 130 Roseville, Ca 95661 and the phone number is (916) 797-6747
This medical organization specializes in Optometrist with taxonomy code 152W00000X
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 05D2113552 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on October 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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