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CALIFORNIA EYE CLINIC NPI 1992840946


NPI Information

NPI: 1992840946
Provider Name: CALIFORNIA EYE CLINIC

Other Name: ROBERT S. GROSSERODE & IVAN P. HWANG

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 05D2024645

Address:
3747 SUNSET LN
ANTIOCH, CA
ZIP 94509
Phone: (925) 754-7100
Get Directions

CALIFORNIA EYE CLINIC is a durable medical equipment medical supplies in Antioch, 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. CALIFORNIA EYE CLINIC NPI is 1992840946. The provider is registered as an organization entity type.
The provider Other Name Is Robert S. Grosserode & Ivan P. Hwang.

The provider's business location address is:

3747 SUNSET LN
ANTIOCH, CA
ZIP 94509-101
Phone: (925) 754-7100

The provider's authorized official is Kelly Creighton .
The authorized official title is Bookkeeping Manager and has the following contact phone number (925) 754-2300.

The CLIA number assigned to this NPI record is 05D2024645 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.


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 SuppliesYes

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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