Healthcare Provider Details

I. General information

NPI: 1760321053
Provider Name (Legal Business Name): SIXTH OPTOMETRIC CARE OF CALIFORNIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1528 S EL CAMINO REAL STE 101
SAN MATEO CA
94402-3067
US

IV. Provider business mailing address

3333 QUALITY DR
RANCHO CORDOVA CA
95670-7985
US

V. Phone/Fax

Practice location:
  • Phone: 650-570-5955
  • Fax: 650-570-7124
Mailing address:
  • Phone: 650-570-5955
  • Fax: 650-570-7124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRITTANY HARRISON
Title or Position: DIRECTOR, RCM
Credential:
Phone: 512-316-4603