EARLE BAUM CENTER OF THE BLIND INC. (NPI# 1013249986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013249986 |
| Entity Type | Organization |
| Organization Name | EARLE BAUM CENTER OF THE BLIND INC. |
| Practice Address |
4539 Occidental Rd Santa Rosa CA 95401-5635 |
| Practice Telephone | 7075233222 |
| Practice Fax Number | 7076362768 |
| Mailing Telephone | 7075233222 |
| Mailing Fax Number | 7076362768 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | MR. ALLAN BRENNER (PRESIDENT/CEO) |
| Authorized Official Telephone | 7075233222 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
8817T | CA | Eye and Vision Services Providers |
| Street Address |
4539 OCCIDENTAL RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-5635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700876760 | Janet Caddell | Optometrist | 2451 Summerfield Rd, Santa Rosa, CA 95405-7815 | 2005-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804844 | Vista Center for The Blind and Visually Impaired | Optometrist | 101 N Bascom Ave, San Jose, CA 95128-1805 | 2019-07-24 |
| 1316260052 | The Center for The Partially Sighted | Optometrist | 18425 Burbank Blvd Ste 706, Tarzana, CA 91356-6668 | 2010-03-09 |
| 1891027272 | Richard Jeffrey Shuldiner | Optometrist | 761 Payette Dr, Corona, CA 92881-8494 | 2010-02-09 |
| 1154589331 | Eden Plaza Optometry | Optometrist | 3555 Rosecrans St Ste 102, San Diego, CA 92110-3232 | 2008-05-24 |
| 1104008382 | Dana Linnea Rawlings | Optometrist | 1000 Lakes Dr Ste 180, West Covina, CA 91790-2927 | 2007-11-29 |
| 1841333192 | Lise Kim Tong | Optometrist | 958 Moraga Rd, Lafayette, CA 94549-4525 | 2007-02-15 |
| 1114064664 | Robert Bruce Greer | Optometrist | 360 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-01-31 |
| 1669528089 | Thanh Kien Truong | Optometrist | 3443 Balboa St Ste B, San Francisco, CA 94121-2701 | 2007-01-26 |
| 1346305869 | Nina Coleen Getz | Optometrist | 301 W Huntington Dr Ste 605, Arcadia, CA 91007-1514 | 2006-12-26 |
| 1437218864 | Thao Tran, O.d., Inc | Optometrist | 684 N 1st St, San Jose, CA 95112-5109 | 2006-12-08 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.