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EYE CARE INSTITUTE A MEDICAL CORPORATION NPI 1609932342


NPI Information

NPI: 1609932342
Provider Name: EYE CARE INSTITUTE, A MEDICAL CORPORATION

Former Legal Business Name: SANTA ROSA EYE PHYSICIANS AND SURGEONS MEDICAL GROUP, A PROF CORP

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
1370 MEDICAL CENTER DR
SUITE A
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 585-6110
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EYE CARE INSTITUTE, A MEDICAL CORPORATION is a durable medical equipment medical supplies in Rohnert Park, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. EYE CARE INSTITUTE, A MEDICAL CORPORATION NPI is 1609932342. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Santa Rosa Eye Physicians And Surgeons Medical Group, A Prof Corp.

The provider's business location address is:

1370 MEDICAL CENTER DR
SUITE A
ROHNERT PARK, CA
ZIP 94928-934
Phone: (707) 585-6110
Fax: (707) 585-6145

The provider's authorized official is Daniel G. Rich .
The authorized official title is Corporation President and has the following contact phone number (707) 546-9800.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 5/25/2017.


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
1332B00000XDurable Medical Equipment & Medical Supplies0399240001CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ76363ZMEDICAIDCALIFORNIA

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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