REDWOOD EYE CENTER (NPI# 1023061306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023061306 |
| Entity Type | Organization |
| Organization Name | REDWOOD EYE CENTER |
| Practice Address |
2852 Redwood Pkwy Vallejo CA 94591-3633 |
| Practice Telephone | 7075538222 |
| Practice Fax Number | 7075531154 |
| Mailing Telephone | 7075538222 |
| Mailing Fax Number | 7075531154 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROGER F CARLSON (PRESIDENT) |
| Authorized Official Telephone | 7075538222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 00G231060 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 00G231060 | 01 |
| Street Address |
2852 REDWOOD PKWY |
| City | VALLEJO |
| State | CA |
| Zip Code | 94591-3633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740323559 | Anthony K. Agadzi | Ophthalmology | 2852 Redwood Pkwy, Vallejo, CA 94591-3633 | 2007-02-14 |
| 1336195486 | Roger F Carlson | Ophthalmology | 2852 Redwood Pkwy, Vallejo, CA 94591-3633 | 2006-05-26 |
| 1235185000 | Thomas C Cushing | Optometrist | 2852 Redwood Pkwy, Vallejo, CA 94591-3633 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356901 | Andrew Garcia | Behavior Technician | 150 Glen Gove Marina Rd., #102, Vallejo, CA 94591 | 2020-11-03 |
| 1396353504 | Marlesia Marvae Gonzales | Behavior Technician | 150 Glen Cove Marina Rd., #102, Vallejo, CA 94591 | 2020-07-14 |
| 1033741061 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 910 Admiral Callaghan Lane, Vallejo, CA 94591 | 2020-02-07 |
| 1639633860 | Angelo Duaso | Respiratory Therapist, Certified | 712 North Regatta Drive, Vallejo, CA 94591 | 2019-01-22 |
| 1467923615 | Maria Perez | Behavioral Analyst | 150 Glen Code Marina Rd #102, Vallejo, CA 94591 | 2018-12-16 |
| 1285119966 | Josie Gerber | Registered Nurse | 9268 Hallmark Place, Vallejo, CA 94591 | 2018-09-28 |
| 1912491911 | Lamigo LLC | Optometrist | 121 Plaza Dr Ste 505, Vallejo, CA 94591 | 2018-06-22 |
| 1942655055 | Brisbain Rigor Pucan | Dentist | 2143 Springs Rd, #51, Vallejo, CA 94591 | 2016-04-26 |
| 1811323066 | Bianca Tayne Payne | Counselor | 408 Tennesse St, Vallejo, CA 94591 | 2013-09-19 |
| 1285973602 | Kushwantjit Singh Randhawa | Dentist | 300 Hillary Way Apt 91, Vallejo, CA 94591 | 2013-02-05 |
| Find all providers in zip 94591 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225209034 | Christine Yi-shin Chiou Smith | Ophthalmology | 975 Sereno Drive, Vallejo, CA 94589-2485 | 2008-03-19 |
| 1740323559 | Anthony K. Agadzi | Ophthalmology | 2852 Redwood Pkwy, Vallejo, CA 94591-3633 | 2007-02-14 |
| 1164570347 | Tien-an Yang | Ophthalmology | 975 Sereno Drive, Kaiser Permanente Medical Center, Vallejo, CA 94589-2485 | 2007-01-06 |
| 1417029232 | Deanna K. Wilson | Ophthalmology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-15 |
| 1700965498 | David Robins | Ophthalmology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-03 |
| 1548348444 | David A. Simundson | Ophthalmology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1275611170 | Brian J. Bubnic | Ophthalmology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1023196847 | William J. Casey | Ophthalmology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-11-01 |
| 1710914775 | Kristen L Hartley | Ophthalmology | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-06-27 |
| 1336195486 | Roger F Carlson | Ophthalmology | 2852 Redwood Pkwy, Vallejo, CA 94591-3633 | 2006-05-26 |
| Find all providers in VALLEJO | ||||
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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.