Dr Kevin Gregory Lockhart, OD | |
5520 Douglas Blvd, Suite 110, Granite Bay, CA 95746-6288 | |
(916) 791-5490 | |
(916) 791-3099 |
Full Name | Dr Kevin Gregory Lockhart |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 35 Years |
Location | 5520 Douglas Blvd, Granite Bay, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962568329 | NPI | - | NPPES |
680428633 | Other | CA | TAX ID |
2230825 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9297T (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Granite Bay Vision Center Optometry, Inc. | 6305205790 | 2 |
Provider Name | Kevin G. Lockhart, O.d., Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033365861 PECOS PAC ID: 7315124526 Enrollment ID: O20110615000264 |
Provider Name | Granite Bay Vision Center Optometry, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477243301 PECOS PAC ID: 6305205790 Enrollment ID: O20230703001459 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin Gregory Lockhart, OD 5520 Douglas Blvd, Suite 110, Granite Bay, CA 95746-6288 Ph: (916) 791-5490 | Dr Kevin Gregory Lockhart, OD 5520 Douglas Blvd, Suite 110, Granite Bay, CA 95746-6288 Ph: (916) 791-5490 |
Kevin G. Lockhart, O.d., Inc Optometrist Medicare: Medicare Enrolled Practice Location: 5520 Douglas Blvd, Suite 110, Granite Bay, CA 95746 Phone: 916-791-5490 Fax: 916-791-3099 | |
Dr. Richard A Borghi, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6049 Douglas Blvd, Suite 23, Granite Bay, CA 95746 Phone: 916-791-3388 Fax: 916-791-1124 | |
Granite Bay Vision Care Optometry Optometrist Medicare: Medicare Enrolled Practice Location: 5520 Douglas Blvd Ste 110, Granite Bay, CA 95746 Phone: 916-791-5490 | |
Richard A Borghi, Od, Apc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6049 Douglas Blvd, Suite 23, Granite Bay, CA 95746 Phone: 916-791-3388 Fax: 916-791-1124 |