Organization
GRANITE BAY VISION CENTER OPTOMETRY, INC.
Active
Other names
Granite Bay Vision Care Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMBIZ KHORRAM OD (PRESIDENT)
(916) 792-1523
Entity
Organization
Contact information
Practice address
5520 DOUGLAS BLVD STE 110, GRANITE BAY, CA 95746-6288
(916) 791-5490
Mailing address
1752 TERRACINA DR, EL DORADO HILLS, CA 95762-5409
(916) 792-1523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
06/05/2023
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