Provider Demographics
NPI:1679613707
Name:ROCCHI AND SPANFELNER OPTOMETRISTS
Entity type:Organization
Organization Name:ROCCHI AND SPANFELNER OPTOMETRISTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROCCHI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:530-533-6604
Mailing Address - Street 1:1550 MYERS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95965-4965
Mailing Address - Country:US
Mailing Address - Phone:530-533-6604
Mailing Address - Fax:530-533-6568
Practice Address - Street 1:1550 MYERS ST
Practice Address - Street 2:SUITE A
Practice Address - City:OROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95965-4965
Practice Address - Country:US
Practice Address - Phone:530-533-6604
Practice Address - Fax:530-533-6568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA07323TPL152W00000X
CA10240TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP004790119OtherMEDICARE RAILROAD CARRIER
CAZZZ55000YOtherBLUE SHIELD OF CALIFORNIA
CAGSD001930Medicaid
CADH0649OtherMEDICARE RAILROAD CARRIER
CAP00479427OtherMEDICARE RAILROAD CARRIER
CADH0649OtherMEDICARE RAILROAD CARRIER
CASD0073230Medicare PIN
CAP00479427OtherMEDICARE RAILROAD CARRIER
CASD0102400Medicare PIN
CAP004790119OtherMEDICARE RAILROAD CARRIER
CA6065340001Medicare NSC