CAMILLE WEISSENBERG (NPI# 1407332182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407332182 |
| Entity Type | Individual |
| Full Name | CAMILLE WEISSENBERG |
| Credential | OD |
| Practice Address |
1422 Blue Oaks Blvd Ste 150 Roseville CA 95747-5196 |
| Practice Telephone | 9167833937 |
| Mailing Telephone | 9167833937 |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 33987TLG | CA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3133 W March Ln Ste 2020, Stockton, CA 952192361 | 2099510820 |
| Street Address |
1422 BLUE OAKS BLVD STE 150 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-5196 |
| 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 | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629622543 | Alyssa Akimi Matsuo | Optometrist | 9221 Sierra College Blvd Ste 130, Roseville, CA 95661-5919 | 2019-07-29 |
| 1558828483 | Thrive Eyes LLC | Optometrist | 100 S Harding Blvd Ste 100, Roseville, CA 95678-3360 | 2019-02-27 |
| 1699275735 | Shahrokh Khoshsohbat | Optometrist | 2100 Snelling Ave N Ste 39, Roseville, MN 55113-6030 | 2018-02-15 |
| 1609393305 | Liana Bambi Switzer | Optometrist | 1010 Pleasant Grove Blvd Ste 120, Roseville, CA 95678-6118 | 2017-08-24 |
| 1396190864 | Alicia Marie Johnson | Optometrist | 32443 Gratiot Ave, Roseville, MI 48066-1154 | 2016-05-03 |
| 1093147910 | Jennifer J. Everett Optometry, P.C. | Optometrist | 10271 Fairway Dr Ste 100, Roseville, CA 95678-3542 | 2013-08-01 |
| 1609117035 | Jennifer J Everett | Optometrist | 10271 Fairway Dr, Suite 100, Roseville, CA 95678-3540 | 2013-03-11 |
| 1861756454 | Carmen Perez Moreno | Optometrist | 1125 Galleria Blvd, Roseville, CA 95678-1935 | 2012-06-27 |
| 1275848202 | Macarius, Max & Daniel | Optometrist | 1128 Galleria Blvd, Roseville, CA 95678-1992 | 2010-08-14 |
| 1063725919 | Erin Noel Hitzelburger | Optometrist | 32600 Gratiot Ave, Roseville, MI 48066-1126 | 2010-07-21 |
| Find all providers in ROSEVILLE | ||||
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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.