DR. HOLLIS LOREN STAVN (NPI# 1194728527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194728527 |
Entity Type | Individual |
Full Name | DR. HOLLIS LOREN STAVN |
Credential | O.D. |
Practice Address |
2305 Mendocino Ave Ste B Santa Rosa CA 95403-3157 |
Practice Telephone | 7075279137 |
Practice Fax Number | 7075459278 |
Mailing Telephone | 7075279137 |
Mailing Fax Number | 7075459278 |
Enumeration Date | 2005-05-31 |
Last Update Date | 2012-12-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | 6812T | CA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | SD0068121 | 05 | |
CA | SAGEGUARD | 45719 | 01 |
Street Address |
2305 MENDOCINO AVE STE B |
City | SANTA ROSA |
State | CA |
Zip Code | 95403-3157 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255618500 | Dr Hollis L Stavn O.d. An Optometry Corporation | Optometrist | 2305 Mendocino Ave, Ste B, Santa Rosa, CA 95403-3157 | 2011-11-14 |
1093874463 | Steve & Donna B. Eakin | Occupational Therapist | 2305 Mendocino Ave, Suite B, Santa Rosa, CA 95403-3157 | 2006-12-08 |
1306952916 | Michael Wayne Lawson | Chiropractor | 2305 Mendocino Ave, Suite B, Santa Rosa, CA 95403-3157 | 2006-08-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
Find all providers in zip 95403 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568943264 | Danny Chen Le | Optometrist | 290 Coddingtown Ctr, Santa Rosa, CA 95401-3506 | 2018-08-22 |
1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
1912241761 | Erica Shu-yeu Wu | Optometrist | 2655 Cleveland Ave Ste A, Santa Rosa, CA 95403 | 2012-11-18 |
1437467859 | Margot Shipley | Optometrist | 1430 Guerneville Rd Ste 3, Santa Rosa, CA 95403-4158 | 2010-09-20 |
1376771808 | R. David Jones, O.d. | Optometrist | 800 4th St, Santa Rosa, CA 95404-4505 | 2009-06-23 |
1194976936 | Nicole Janell Wood | Optometrist | 1430 Guerneville Rd., #3, Santa Rosa, CA 95403-4158 | 2008-10-09 |
1962677369 | Ladan Nazari | Optometrist | 1054 Santa Rosa Plz, Santa Rosa, CA 95401-6345 | 2008-04-25 |
1710193651 | Tom Tseng | Optometrist | 3540 Mendocino Ave Ste 200, Santa Rosa, CA 95403-3639 | 2007-05-15 |
1174673727 | Harris R.young,o.d. | Optometrist | 1311 W Steele Ln, Santa Rosa, CA 95403-2956 | 2007-01-12 |
1619032695 | James Michael Harmon | Optometrist | 534 Larkfield Ctr, Santa Rosa, CA 95403-7503 | 2006-12-27 |
Find all providers in SANTA ROSA |
City | SANTA ROSA |
Zip Code | 95403 |
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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.