Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Granite Bay Vision Center Optometry, Inc

Organization Optometrist · NPI 1477243301

Granite Bay Vision Center Optometry, Inc is an Optometrist in Granite Bay, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5520 Douglas Blvd Ste 110
Granite Bay, CA 95746-6288
Phone: (916) 791-5490
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1477243301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kambiz Khorram — President · (916) 792-1523
Other names Granite Bay Vision Care Optometry
NPI enumeratedMay 12, 2023
Last updated in NPPESJune 5, 2023
Certification dateJune 5, 2023
Mailing address1752 Terracina Dr, El Dorado Hills, CA 95762-5409

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