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Gregory Boomer
NPI 1326110354 · Optometrist · Susanville, CA
Gregory Boomer is a Optometrist provider in Susanville, CA (NPI 1326110354).
Provider details
- NPI number
- 1326110354
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6622T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
607 a Cottage St
Susanville, CA 96130-4303
Phone: (530) 257-4424
Fax: (530) 257-9626
Street-level locationGet directions
Mailing address
607 a Cottage St
Susanville, CA 96130-4303
Registry dates
- Enumerated
- 2006-11-14
- Last updated
- 2008-06-05
Frequently asked questions
- What is Gregory Boomer's NPI number?
- Gregory Boomer's National Provider Identifier (NPI) is 1326110354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gregory Boomer's specialty?
- Gregory Boomer is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Gregory Boomer located?
- Gregory Boomer's practice location on file with NPPES is 607 a Cottage St, Susanville, CA 96130-4303.
- What is Gregory Boomer's phone number?
- The practice phone number listed in the NPPES registry for Gregory Boomer is (530) 257-4424.
- Is Gregory Boomer's NPI active?
- Yes — Gregory Boomer's NPI (1326110354) is active in the NPPES registry as of the last update on 2008-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.