Healthcare Provider Details
I. General information
NPI: 1396689659
Provider Name (Legal Business Name): SIXTH OPTOMETRIC CARE OF CALIFORNIA PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19733 RINALDI ST
PORTER RANCH CA
91326-4143
US
IV. Provider business mailing address
3333 QUALITY DR
RANCHO CORDOVA CA
95670-7985
US
V. Phone/Fax
- Phone: 818-832-4646
- Fax: 818-368-9898
- Phone: 818-832-4646
- Fax: 818-368-9898
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRITTANY
HARRISON
Title or Position: DIRECTOR
Credential:
Phone: 512-316-4603