FRED PAUL GUARCELLO (NPI# 1700812658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700812658 |
| Entity Type | Individual |
| Full Name | FRED PAUL GUARCELLO |
| Credential | O.D. |
| Practice Address |
1263 Pleasant Grove Blvd Ste 100 Roseville CA 95747-5886 |
| Practice Telephone | 9167731195 |
| Practice Fax Number | 9167731187 |
| Mailing Telephone | 9167731195 |
| Mailing Fax Number | 9167731187 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-04-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
6453T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0064530 | 05 |
| Street Address |
1263 PLEASANT GROVE BLVD STE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-5886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619929890 | Paul R. Gollender, O.d. | Optometrist | 1263 Pleasant Grove Blvd, Suite 100, Roseville, CA 95747-5858 | 2006-05-16 |
| 1902093610 | Fred P. Guarcello & Peter S. Klem Ptr | Optometrist | 1263 Pleasant Grove Blvd, Suite 100, Roseville, CA 95747-5884 | 2007-09-26 |
| 1689861502 | Paul Richard Gollender | Optometrist | 1263 Pleasant Grove Blvd, #100, Roseville, CA 95747-5884 | 2007-09-25 |
| 1417078650 | Fred P. Guarcello, O.d. | Optometrist | 1263 Pleasant Grove Blvd, Suite 100, Roseville, CA 95747-5858 | 2007-04-03 |
| 1467589309 | Firas Nassif | Dentist | 1263 Pleasant Grove Blvd, Suite 150, Roseville, CA 95747-5858 | 2007-02-27 |
| 1457379638 | Paul R. Gollender, O.d., A California Optometric Corporation | Optometrist | 1263 Pleasant Grove Blvd, Suite # 100, Roseville, CA 95747-5858 | 2006-07-17 |
| 1518982065 | Peter Sherman Klem | Optometrist | 1263 Pleasant Grove Blvd, Ste. 100, Roseville, CA 95747-5858 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1720352099 | Peggy Holcomb | Clinical Neuropsychologist | 4010 Foothills Bvld., Ste. 103-3, Roseville, CA 95747 | 2012-03-02 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922566116 | Roseville Vision Center Inc An Optometric Corporation | Optometrist | 1213 Pleasant Grove Blvd, Roseville, CA 95678-6971 | 2019-03-06 |
| 1538245162 | Granite Pointe Eye Care, Inc. | Optometrist | 9221 Sierra College Blvd, Suite 130, Roseville, CA 95661-5919 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730741299 | Eye Connection Optometry, Inc | Optometrist | 9516 Miramar Road, San Diego, CA 92126 | 2019-07-05 |
| 1053880468 | Elements Optometry P.C. | Optometrist | 703 Pier Ave Ste C, Hermosa Beach, CA 90254-3958 | 2018-11-14 |
| 1184108797 | Patrick W Utnehmer A Proffesional Corporation | Optometrist | 41493 Margarita Rd Ste G109, Temecula, CA 92591-5570 | 2018-09-19 |
| 1629586409 | Excel Family Eye Care Inc | Optometrist | 15855 Soquel Canyon Pkwy Ste 120, Chino Hills, CA 91709-7866 | 2018-01-16 |
| 1548634504 | Jessica Duong,o.d.inc. | Optometrist | 4294 Riverwalk Pkwy Ste 204, Riverside, CA 92505-3378 | 2015-11-13 |
| 1649694571 | Visual Eyes Optometry Inc | Optometrist | 4555 Hopyard Rd Ste C-19, Pleasanton, CA 94588-2771 | 2014-02-12 |
| 1649602939 | Kambiz Silani | Optometrist | 212 S Robertson Blvd, Beverly Hills, CA 90211-2811 | 2013-08-08 |
| 1740621937 | Old Town Optometry Inc | Optometrist | 78015 Main St Ste 107, La Quinta, CA 92253-3420 | 2013-07-16 |
| 1891033825 | Roushanak Fadavi | Optometrist | 4 Arcata, Mission Viejo, CA 92692-5138 | 2013-01-25 |
| 1659629384 | Yen's Optometry Inc. | Optometrist | 1335 Lincoln Ave, San Jose, CA 95125-3022 | 2012-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.