MEDICARE: ROCKRIDGE OPTOMETRY

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	:	1760532659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKRIDGE OPTOMETRY

Provider Business Mailing Address
First Line	:	5321 COLLEGE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1416
Country	:	US
Telephone Number	:	510-655-3797
Fax Number	:	510-655-3701

Provider Business Practice Location Address
First Line	:	5321 COLLEGE AVE
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94618-1416
Country	:	US
Telephone Number	:	510-655-3797
Fax Number	:	510-655-3701

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. LARRY ALAN SARVER
Credential	:	O.D.
Telephone Number	:	510-655-3797

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	01/11/2013

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Directions to “ROCKRIDGE OPTOMETRY ” Practice Location

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