NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION (NPI# 1184800799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184800799 |
| Entity Type | Organization |
| Organization Name | NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION |
| Other Organization Name | NORTH BAY EYE ASSOCIATES, INC |
| Practice Address |
1260 N Dutton Ave Suite 160 Santa Rosa CA 95401-4659 |
| Mailing Address |
Po Box 11688 Santa Rosa CA 95406-1688 |
| Practice Telephone | 7075242442 |
| Mailing Telephone | 7075242442 |
| Mailing Fax Number | 7075242438 |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-12-05 |
| Authorized Official Name | KIMBERLEE K BRESLIN (ACCOUNTS RECEIVABLE MANAGER) |
| Authorized Official Telephone | 7075887946 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | CA | Suppliers |
| Y | 207W00000X | Ophthalmology | ========= | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Bay Eye Associates, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083890693 | North Bay Eye Associates, A Medical Corporation | Durable Medical Equipment & Medical Supplies | 1310 Prentice Dr, Suite F, Healdsburg, CA 95448-3384 | 2008-01-14 |
| 1376729988 | North Bay Eye Associates, A Medical Corporation | Durable Medical Equipment & Medical Supplies | 380 Tesconi Ct, Santa Rosa, CA 95401-4653 | 2008-01-14 |
| 1710163324 | North Bay Eye Associates, A Medical Corporation | Durable Medical Equipment & Medical Supplies | 545 3rd St W, Sonoma, CA 95476-6501 | 2008-01-14 |
| 1538344742 | North Bay Eye Associates, A Medical Corporation | Durable Medical Equipment & Medical Supplies | 104 Lynch Creek Way, Suite 15, Petaluma, CA 94954-2355 | 2008-01-07 |
| Street Address |
1260 N DUTTON AVE SUITE 160 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134149289 | Richard P. Olcese | Clinical Neuropsychologist | 1260 N Dutton Ave, Suite 245, Santa Rosa, CA 95401-4659 | 2006-07-20 |
| 1720626112 | Samantha Frias | Community Health Worker | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2019-12-16 |
| 1447748751 | Sean Avila Saiter | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2018-04-23 |
| 1295105500 | Allison Faris | Psychologist | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2015-09-29 |
| 1689093726 | Vergil Hobbs | Clinical Neuropsychologist | 1260 N Dutton Ave, Suite 225, Santa Rosa, CA 95401-4659 | 2014-04-15 |
| 1801224043 | Katherine Whitley | Nurse Practitioner | 1260 N Dutton Ave, #275, Santa Rosa, CA 95401-4659 | 2013-10-25 |
| 1447500756 | Peter Behel | Behavioral Analyst | 1260 N Dutton Ave, 175, Santa Rosa, CA 95401-4659 | 2012-09-13 |
| 1205117876 | Tari Webber | Counselor | 1260 N Dutton Ave, Suite 225, Santa Rosa, CA 95401-4659 | 2011-09-08 |
| 1619295839 | Lifeworks of Sonoma County | Community/Behavioral Health | 1260 N Dutton Ave, Ste 105 & Ste 244, Santa Rosa, CA 95401 | 2010-05-12 |
| 1891927281 | Andrew Evan O'neall | Psychologist | 1260 N Dutton Ave, Ste 225, Santa Rosa, CA 95401-4659 | 2009-08-18 |
| Find all providers in the same location | ||||
| 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 | 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 |
|---|---|---|---|---|
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1952670796 | Cole Phillip Stephens | Ophthalmology | 4711 Hillsboro Cir, Santa Rosa, CA 95405-8776 | 2011-12-23 |
| 1194024935 | John Lawrence Norris | Ophthalmology | 1415 Olivet Rd, Santa Rosa, CA 95401-3810 | 2011-03-18 |
| 1487785101 | Valerie Sondra Garden | Ophthalmology | 1140 Sonoma Avenue, Building 2a, Santa Rosa, CA 95405-4817 | 2007-03-07 |
| 1770509002 | Mark Edwin Jacobson | Ophthalmology | 1260 N Dutton Ave Ste 160, Santa Rosa, CA 95401-7139 | 2006-07-13 |
| 1346275484 | Sanjay Bansal | Ophthalmology | 3540 Mendocino Avenue, Suite 200, Santa Rosa, CA 95403-3639 | 2006-07-11 |
| 1003851809 | Alice Chiang | Ophthalmology | 1002 Mendocino Ave, Santa Rosa, CA 95401-4330 | 2006-06-17 |
| 1720042617 | David E. Ulmer | Ophthalmology | 990 Sonoma Ave, Ste 10, Santa Rosa, CA 95404-4802 | 2006-04-17 |
| 1972566842 | Brien A. Seeley | Ophthalmology | 4739 Hoen Ave, Santa Rosa, CA 95405-7862 | 2006-04-10 |
| 1326010620 | James E Hunt | Ophthalmology | 1140 Sonoma Ave Ste 2, Santa Rosa, CA 95405-4817 | 2006-02-02 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
Please comment or provide details below to improve the information on NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION.
| 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.