Organization
GRANITE POINTE EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI BLISS (MANAGER)
(916) 838-5532
Entity
Organization
Contact information
Practice address
9221 SIERRA COLLEGE BLVD, SUITE 130, ROSEVILLE, CA 95661-5919
(916) 797-6747
(916) 797-6728
Mailing address
9221 SIERRA COLLEGE BLVD, SUITE 130, ROSEVILLE, CA 95661-5919
(916) 797-6747
(916) 797-6728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9831
CA
152WC0802X
Corneal and Contact Management Optometrist
9831
CA
152WP0200X
Pediatric Optometrist
9831
CA
152WS0006X
Sports Vision Optometrist
9831
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD005440
—
CA
Enumeration date
10/27/2006
Last updated
08/21/2025
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