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

Shasta Vision Group an Optometric Corporation

Organization Optometrist · NPI 1669697348

Shasta Vision Group an Optometric Corporation is an Optometrist in Mount Shasta, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

110 Chestnut St
Mount Shasta, CA 96067
Phone: (530) 926-2033
Fax: (530) 926-3722
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 152W00000X (CA)

Record details

NPI number1669697348
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Annelle Maygren — Owner · (530) 926-2033
NPI enumeratedApril 16, 2007
Last updated in NPPESJune 12, 2018
Mailing address110 Chestnut St, Mount Shasta, CA 96067-2209

Other providers in Mount Shasta