GRANITE BAY VISION CARE OPTOMETRY
NPI 1477243301
Optometrist in Granite Bay, CA
About Granite Bay Vision Care Optometry NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANITE BAY VISION CARE OPTOMETRY (NPI 1477243301) is a healthcare organization registered as an optometrist in Granite Bay, California and active in the NPI registry since May 2023. The organization lists Kambiz Khorram, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Granite Bay Vision Care Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Granite Bay Vision Care Optometry, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Granite Bay Vision Center Optometry, Inc.'s NPI number?
The NPI number for Granite Bay Vision Center Optometry, Inc. is 1477243301. It was assigned to this organization in the NPPES registry on May 12, 2023. The provider is doing business as Granite Bay Vision Care Optometry.
Where is Granite Bay Vision Center Optometry, Inc. located?
Granite Bay Vision Center Optometry, Inc. is located at 5520 Douglas Blvd Ste 110, Granite Bay, CA 95746. The listed phone number is (916) 791-5490.
What is Granite Bay Vision Center Optometry, Inc.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Granite Bay Vision Center Optometry, Inc. enrolled in Medicare?
Yes. Granite Bay Vision Center Optometry, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Granite Bay Vision Center Optometry, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Granite Bay Vision Center Optometry, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Granite Bay Vision Center Optometry, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Granite Bay Vision Center Optometry, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Granite Bay Vision Center Optometry, Inc. was last updated on June 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Granite Bay Vision Care Optometry · NPI 1477243301
Optometrist organization in Granite Bay, California. Organization record, active in the CMS NPPES registry since May 12, 2023.
## Identity
- **NPI:** 1477243301 (Entity type: Organization)
- **Enumerated:** May 12, 2023
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Granite Bay Vision Center Optometry, Inc.
- **Organization subpart:** No
- **Authorized official:** Kambiz Khorram, PRESIDENT
## Practice location
- **Address:** 5520 DOUGLAS BLVD STE 110, Granite Bay, CA 95746-6288
- **Phone:** (916) 791-5490
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477243301) · Data from the CMS NPPES public registry.