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EARLE BAUM CENTER OF THE BLIND INC. NPI 1013249986


NPI Information

NPI: 1013249986
Provider Name: EARLE BAUM CENTER OF THE BLIND INC.
Classification: Optometrist - 152WL0500X
Entity Type: Organization

Specialization: Low Vision Rehabilitation

Address:
4539 OCCIDENTAL RD
SANTA ROSA, CA
ZIP 95401
Phone: (707) 523-3222
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EARLE BAUM CENTER OF THE BLIND INC. is a low vision rehabilitation optometrist in Santa Rosa, CA. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. EARLE BAUM CENTER OF THE BLIND INC. NPI is 1013249986. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4539 OCCIDENTAL RD
SANTA ROSA, CA
ZIP 95401-635
Phone: (707) 523-3222
Fax: (707) 636-2768

The provider's authorized official is Allan Brenner .
The authorized official title is President/ceo and has the following contact phone number (707) 523-3222.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 2/10/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WL0500XOptometristLow Vision Rehabilitation8817TCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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