| Kevin G. Lockhart, O.d., Inc | |
|
5520 Douglas Blvd, Suite 110, Granite Bay, CA 95746-6288 | |
| (916) 791-5490 | |
| (916) 791-3099 |
| Full Name | Kevin G. Lockhart, O.d., Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5520 Douglas Blvd, Granite Bay, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033365861 | NPI | - | NPPES |
| 2230825 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 9297T (California) | Primary |
| Provider Name | Kevin G Lockhart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962568329 PECOS PAC ID: 0941487151 Enrollment ID: I20110615000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin G. Lockhart, O.d., Inc 5520 Douglas Blvd, Suite 110, Granite Bay, CA 95746-6288 Ph: (916) 791-5490 | Kevin G. Lockhart, O.d., Inc 5520 Douglas Blvd, Suite 110, Granite Bay, CA 95746-6288 Ph: (916) 791-5490 |
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 | |
Dr. Kevin Gregory Lockhart, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5520 Douglas Blvd, Suite 110, Granite Bay, CA 95746 Phone: 916-791-5490 Fax: 916-791-3099 |