Granite Bay Vision Center Optometry, Inc.
NPI 1477243301 · Optometrist · Granite Bay, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Granite Bay Vision Center Optometry, Inc. is a Optometrist organization in Granite Bay, CA (NPI 1477243301).
Provider details
- NPI number
- 1477243301
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kambiz Khorram, President(916) 792-1523
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Other names (DBA / former)
- Doing business as
- Granite Bay Vision Care Optometry
Registry dates
- Enumerated
- 2023-05-12
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Frequently asked questions
- What is Granite Bay Vision Center Optometry, Inc.'s NPI number?
- Granite Bay Vision Center Optometry, Inc.'s National Provider Identifier (NPI) is 1477243301, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Granite Bay Vision Center Optometry, Inc.?
- Granite Bay Vision Center Optometry, Inc. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Granite Bay Vision Center Optometry, Inc. located?
- Granite Bay Vision Center Optometry, Inc.'s practice location on file with NPPES is 5520 Douglas Blvd Ste 110, Granite Bay, CA 95746-6288.
- What is Granite Bay Vision Center Optometry, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Granite Bay Vision Center Optometry, Inc. is (916) 791-5490.
- Does Granite Bay Vision Center Optometry, Inc. accept Medicare?
- Granite Bay Vision Center Optometry, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Granite Bay Vision Center Optometry, Inc.?
- The authorized official listed on Granite Bay Vision Center Optometry, Inc.'s NPPES record is Kambiz Khorram, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Granite Bay Vision Center Optometry, Inc.'s NPI active?
- Yes — Granite Bay Vision Center Optometry, Inc.'s NPI (1477243301) is active in the NPPES registry as of the last update on 2023-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.