EAST BAY EYE CENTERS MEDICAL CORPORATION NPI 1780633644

NPI Information

EAST BAY EYE CENTERS MEDICAL CORPORATION is a specialist in San Ramon, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EAST BAY EYE CENTERS MEDICAL CORPORATION NPI is 1780633644. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5801 NORRIS CANYON ROAD
SUITE 200
SAN RAMON, CA
ZIP 94583-406
Phone: (925) 830-8823
Fax: (925) 866-6610

The provider's authorized official is Tammy Carson .
The authorized official title is Practice Administrator and has the following contact phone number (925) 830-2112.

The CLIA number assigned to this NPI record is 05D2216124 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 1/11/2024.

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:

Other Identifiers

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