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EYE CARE INSTITUTE A MEDICAL CORPORATION NPI 1699831115


NPI Information

NPI: 1699831115
Provider Name: EYE CARE INSTITUTE, A MEDICAL CORPORATION

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

Classification: Ophthalmology - 207W00000X
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 an ophthalmology in Rohnert Park, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. EYE CARE INSTITUTE, A MEDICAL CORPORATION NPI is 1699831115. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Santa Rosa Eye Physicians And Surgeons, 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 12/29/2006 and was last updated on 8/24/2010.


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
1207W00000XOphthalmologyYes

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
1A45905MEDICARE UPIN
200G620850MEDICARE PINCA
300G493740MEDICARE PINCALIFORNIA
400G608250MEDICARE PINCALIFORNIA
5F13493MEDICARE UPIN
6U25600MEDICARE UPIN
7F12164MEDICARE UPIN
8A51347MEDICARE UPIN
9180042403MEDICARE PINCALIFORNIA
10410043804MEDICARE PINCALIFORNIA
11180014573MEDICARE PINCALIFORNIA
12180014574MEDICARE PINCALIFORNIA
1300G343820MEDICARE PINCALIFORNIA
14180036143MEDICARE PINCALIFORNIA
15ZZZ76363ZMEDICAIDCALIFORNIA
16CS5700MEDICARE PINCALIFORNIA
17SD0098571MEDICAIDCALIFORNIA
18SD0098570MEDICARE PINCALIFORNIA
19ZZZ76363ZMEDICARE PINCALIFORNIA

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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