DR. GREGORY A BOOMER
NPI 1326110354
Optometrist in Susanville, CA

Q: What is Gregory Boomer's NPI number?

The NPI number for Gregory Boomer is 1326110354. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Gregory Boomer's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Boomer was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 14, 2006

607 A COTTAGE ST, SUSANVILLE, CA 96130(530) 257-4424(530) 257-9626 Get Directions Write a Review

NPPES record last updated: June 5, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Gregory A Boomer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY A BOOMER (NPI 1326110354) is an individual optometrist in Susanville, California, licensed in California (6622T) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1326110354

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. GREGORY A BOOMER

Location Address607 A COTTAGE STSusanville, CA 96130-4303

Mailing Address607 A Cottage StSusanville, CA 96130-4303 · (530) 257-4424 · Fax (530) 257-9626

Phone(530) 257-4424

Fax(530) 257-9626

Sole ProprietorYes

Enumeration DateNovember 14, 2006

Last NPPES UpdateJune 5, 2008

✔ NPI 1326110354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · 6622T

Definition

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.

607 A COTTAGE ST, Susanville, CA 96130

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Other Identifiers 1

Medicare NSC0782870001CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Boomer's NPI number?

The NPI number for Gregory Boomer is 1326110354. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Gregory Boomer located?

Gregory Boomer practices at 607 A Cottage St, Susanville, CA 96130. The listed phone number is (530) 257-4424.

What is Gregory Boomer's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Gregory Boomer was last updated on June 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.