EYE CARE INSTITUTE, A MEDICAL CORPORATION (NPI# 1225102874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225102874 |
| Entity Type | Organization |
| Organization Name | EYE CARE INSTITUTE, A MEDICAL CORPORATION |
| Other Organization Name | EYE CARE INSTITUTE, OPTICAL DISPENSARY |
| Practice Address |
1017 2nd St Santa Rosa CA 95404-6608 |
| Practice Telephone | 7075469800 |
| Practice Fax Number | 7075464112 |
| Mailing Telephone | 7075469800 |
| Mailing Fax Number | 7075464112 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2017-05-25 |
| Authorized Official Name | DANIEL G. RICH (CORPORATION PRESIDENT) |
| Authorized Official Telephone | 7075469800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0399240001 | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ76363Z | 05 |
| Other Name | Type Code |
|---|---|
| Eye Care Institute, Optical Dispensary | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366978363 | Eye Care Institute, A Medical Corporation | Optometrist | 1383 N Mcdowell Blvd Ste 100, Petaluma, CA 94954-1190 | 2017-05-11 |
| 1083141857 | Eye Care Institute, A Medical Corporation | Optometrist | 720 4th St, Santa Rosa, CA 95404-4421 | 2017-05-11 |
| 1699831115 | Eye Care Institute, A Medical Corporation | Ophthalmology | 1370 Medical Center Dr, Suite A, Rohnert Park, CA 94928-2934 | 2006-12-29 |
| 1609932342 | Eye Care Institute, A Medical Corporation | Durable Medical Equipment & Medical Supplies | 1370 Medical Center Dr, Suite A, Rohnert Park, CA 94928-2934 | 2006-12-28 |
| 1295740991 | Eye Care Institute, A Medical Corporation | Ophthalmology | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2006-07-30 |
| Street Address |
1017 2ND ST |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-6608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114905494 | Kalane Jade Wong | Ophthalmology | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2006-01-05 |
| 1598007676 | Avni A Shah | Ophthalmology | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2013-03-26 |
| 1780959734 | Nina Ni | Ophthalmology | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2012-03-09 |
| 1063780468 | Northern California Medical Assoc Inc | Ophthalmology | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2011-12-13 |
| 1295740991 | Eye Care Institute, A Medical Corporation | Ophthalmology | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2006-07-30 |
| 1801874144 | Robert Louis Anderson | Ophthalmology | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2006-01-06 |
| 1710965058 | Daniel George Rich | Ophthalmology | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2006-01-06 |
| 1841278124 | Bruce P Abramson | Optometrist | 1017 2nd St, Santa Rosa, CA 95404-6608 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568070852 | Signature Health Supplies | Durable Medical Equipment & Medical Supplies | 5510 Skylane Blvd Ste 101a, Santa Rosa, CA 95403-1029 | 2020-07-22 |
| 1013531920 | Sg Homecare, Inc | Durable Medical Equipment & Medical Supplies | 5550 Skylane Blvd Ste G, Santa Rosa, CA 95403-1072 | 2020-06-05 |
| 1295284248 | Abrea Tillman | Durable Medical Equipment & Medical Supplies | 215 Regency Ct, Santa Rosa, CA 95401-9011 | 2016-09-30 |
| 1215183496 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 955 Stony Point Road, Santa Rosa, CA 95407-4728 | 2008-08-07 |
| 1497948780 | Richard M Wilcox | Durable Medical Equipment & Medical Supplies | 2322 Midway Dr, Santa Rosa, CA 95405 | 2007-08-21 |
| 1720137649 | Sonoma Surgical A Corp | Durable Medical Equipment & Medical Supplies | 4975 Sonoma Hwy, Santa Rosa, CA 95409-4240 | 2007-01-09 |
| 1265539217 | Mobility Masters Northern California Inc. | Durable Medical Equipment & Medical Supplies | 1575 Farmers Lane, Santa Rosa, CA 95405-7525 | 2006-09-20 |
| 1487763900 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1793 Marlow Road, Santa Rosa, CA 95401-4474 | 2006-08-29 |
| 1083728877 | The Spalding Group Inc | Durable Medical Equipment & Medical Supplies | 750 Mendocino Ave, #9, Santa Rosa, CA 95401 | 2006-08-18 |
| 1629086970 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 3663 N Laughlin Rd Ste 103, Santa Rosa, CA 95403-9067 | 2006-08-03 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on EYE CARE INSTITUTE, 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.