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NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION NPI 1952418378


NPI Information

NPI: 1952418378
Provider Name: NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION

Doing Business As: NORTH BAY EYE ASSOCIATES, INC

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 05D0999918

Address:
50 PROFESSIONAL CENTER DR
SUITE 210
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 588-7939
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NORTH BAY EYE ASSOCIATES 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. NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION NPI is 1952418378. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As North Bay Eye Associates, Inc.

The provider's business location address is:

50 PROFESSIONAL CENTER DR
SUITE 210
ROHNERT PARK, CA
ZIP 94928-164
Phone: (707) 588-7939
Fax: (707) 588-7941

The provider's authorized official is William H Bartlett .
The authorized official title is Director and has the following contact phone number (707) 544-3375.

The CLIA number assigned to this NPI record is 05D0999918 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 9/27/2012.


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
1ZZZ51592ZOTHERCALIFORNIABS SANTA ROSA GROUP
2GR0068573MEDICAIDCALIFORNIA
3GR0068571MEDICAIDCALIFORNIA
4ZZZ42820ZMEDICARE PINCALIFORNIA
5ZZZ55446ZOTHERCALIFORNIABS HEALDSBURG GROUP
6180031307MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIARR HEALDSBURG
7GR0068574MEDICAIDCALIFORNIA
8ZZZ13802ZMEDICARE PINCALIFORNIA
9ZZZ51591ZOTHERCALIFORNIABS PETALUMA GROUP
10180025762MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIARR PETALUMA
11ZZZ61166ZOTHERCALIFORNIABS TESCONI COURT GROUP
12180024435MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIARR SANTA ROSA
13180040232MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIARR SONOMA
14GR0068570MEDICAIDCALIFORNIA
15GR0068572MEDICAIDCALIFORNIA
16ZZZ13801ZMEDICARE PINCALIFORNIA
17ZZZ48683ZMEDICARE 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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