PAUL R. GOLLENDER, O.D. (NPI# 1619929890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619929890 |
| Entity Type | Organization |
| Organization Name | PAUL R. GOLLENDER, O.D. |
| Other Organization Name | RENAISSANCE EYE, A PROFESSIONAL OPTOMETRY CORPORATION |
| Practice Address |
1263 Pleasant Grove Blvd Suite 100 Roseville CA 95747-5858 |
| Practice Telephone | 9167868909 |
| Practice Fax Number | 9167731195 |
| Mailing Telephone | 9167868909 |
| Mailing Fax Number | 9167731195 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-09-26 |
| Authorized Official Name | DR. PAUL RICHARD GOLLENDER (OPTOMETRIST/SHAREHOLDER) |
| Authorized Official Telephone | 9167868909 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 8998TG | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0089980 | 05 |
| Other Name | Type Code |
|---|---|
| Renaissance Eye, A Professional Optometry Corporation | Former Legal Business Name - Organization |
| Street Address |
1263 PLEASANT GROVE BLVD SUITE 100 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747-5858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1700812658 | Fred Paul Guarcello | Optometrist | 1263 Pleasant Grove Blvd, Ste 100, Roseville, CA 95747-5886 | 2006-06-23 |
| 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 |
| 1407332182 | Camille Weissenberg | Optometrist | 1422 Blue Oaks Blvd Ste 150, Roseville, CA 95747-5196 | 2018-07-16 |
| 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 |
| 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.