Santa Rosa Eye Physicians And Surgeons Medical Group, A Prof Corp
LBN: Eye Care Institute, A Medical Corporation
Santa Rosa Eye Physicians And Surgeons Medical Group, A Prof Corp is an health care organization with primary practice located at 1370 Medical Center Dr Suite A, Rohnert Park CA 94928-2934. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty.
Eye Care Institute, A Medical Corporation can be contacted via phone (707) 585-6110, or through Rich, Daniel G. via phone (707) 546-9800.
Contact Information
Primary practice address
1370 Medical Center Dr Suite A
Rohnert Park CA 94928-2934
Phone: (707) 585-6110
Fax: (707) 585-6145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 0399240001 | California |
Profile Details
| NPI number | 1609932342 |
|---|---|
| LBN Legal business name | Eye Care Institute, A Medical Corporation |
| DBA Doing business as | Santa Rosa Eye Physicians And Surgeons Medical Group, A Prof Corp |
| Authorized official | Rich, Daniel G. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | May 25th, 2017 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609932342 | NPPES |
| California | MEDICAID | ZZZ76363Z |
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