MEDICARE: EYE CENTER OPTOMETRICS, A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1619440567
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE CENTER OPTOMETRICS, A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	3333 QUALITY DR
Second Line	:
City	:	RANCHO CORDOVA
State	:	CA
Zip	:	95670-7985
Country	:	US
Telephone Number	:	916-726-1818
Fax Number	:

Provider Business Practice Location Address
First Line	:	5959 GREENBACK LN STE 130
Second Line	:
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95621-4700
Country	:	US
Telephone Number	:	916-726-1818
Fax Number	:	916-726-1822

Authorized Official
Title or Position	:	DIRECTOR
Name	:	BRITTANY HARRISON
Credential	:
Telephone Number	:	512-316-4603

Provider Enumeration Date	:	01/03/2019
Last Update Date	:	03/04/2026

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