| 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 | 36 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 | 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: Not Enrolled in Medicare 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 Center Optometry, Inc. 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 |