NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION (NPI# 1538344742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538344742 |
| Entity Type | Organization |
| Organization Name | NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION |
| Other Organization Name | NORTH BAY EYE ASSOCIATES, INC |
| Practice Address |
104 Lynch Creek Way Suite 15 Petaluma CA 94954-2355 |
| Mailing Address |
Po Box 11688 Santa Rosa CA 95406-1688 |
| Practice Telephone | 7077623573 |
| Practice Fax Number | 7077626873 |
| Mailing Telephone | 7075887946 |
| Mailing Fax Number | 7075887940 |
| Enumeration Date | 2008-01-07 |
| 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 BAYE 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 | ZZZ42820Z | 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 |
| 1184800799 | North Bay Eye Associates, A Medical Corporation | Durable Medical Equipment & Medical Supplies | 1260 N Dutton Ave, Suite 160, Santa Rosa, CA 95401-4659 | 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 |
| Street Address |
104 LYNCH CREEK WAY SUITE 15 |
| City | PETALUMA |
| State | CA |
| Zip Code | 94954-2355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639160112 | Jason Bacharach | Ophthalmology | 104 Lynch Creek Way, Suite 15, Petaluma, CA 94954-2355 | 2005-11-02 |
| 1972751915 | Saw Wynn Aye | Internal Medicine | 104 Lynch Creek Way, Ste 10, Petaluma, CA 94954-2355 | 2008-09-03 |
| 1073769055 | Jessica Flinders | Nurse Practitioner | 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954-2355 | 2008-08-11 |
| 1245411529 | Northern California Medical Assoc Inc | Internal Medicine | 104 Lynch Creek Way, Ste 10, Petaluma, CA 94954-2355 | 2007-11-15 |
| 1346453297 | Loree Ann Skidmore | Nurse Practitioner | 104 Lynch Creek Way, Suite 10, Petaluma, CA 94954-2355 | 2007-05-08 |
| 1205936861 | James Francis Leoni | Family Medicine | 104 Lynch Creek Way, Ste 10, Petaluma, CA 94954-2355 | 2006-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883840 | Miguel Ibarra | Counselor | 5350 Old Redwood Highway, Petaluma, CA 94954 | 2019-10-28 |
| 1073169223 | Monica Renee Najera | Behavior Technician | 1670 Corporate Circle, Ste. 100, Petaluma, CA 94954 | 2019-08-14 |
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1477019917 | Rubi Isela Cruz Mendoza I | Behavioral Analyst | 8 Round Walk Circle, Petaluma, CA 94954 | 2019-02-20 |
| 1932679511 | Karen Christianson | Behavior Technician | 1670 Corporate Circle Suite 100, Petaluma, CA 94954 | 2018-11-27 |
| 1669956967 | Alyssa Messer | Assistant Behavior Analyst | 1670 Corporate Cir, Petaluma, CA 94954 | 2018-09-21 |
| 1235620592 | Mallory Paige Mullikin | Nurse Practitioner | 141 Lynch Creek Trail, Ste C, Petaluma, CA 94954 | 2018-05-22 |
| 1457723710 | Lisabel Dolne | Counselor | 1360 N. Mcdowell Blvd.1a, Petaluma, CA 94954 | 2015-10-27 |
| 1083080717 | Pacific Restorative Center | Clinic/Center | 1456 Professional Drive, Suite 404, Petaluma, CA 94954 | 2015-08-17 |
| 1619354198 | Accu Quest Hearing Centers | Clinic/Center | 1456 Professional Dr., Suite 404, Petaluma, CA 94954 | 2015-05-04 |
| Find all providers in zip 94954 | ||||
| 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 |
|---|---|---|---|---|
| 1235157611 | Roger Dana Weeks | Ophthalmology | 47 Maria Dr, Suite 814, Petaluma, CA 94954-3560 | 2006-07-17 |
| 1639160112 | Jason Bacharach | Ophthalmology | 104 Lynch Creek Way, Suite 15, Petaluma, CA 94954-2355 | 2005-11-02 |
| 1124467006 | Northern California Medical Assoc Inc | Ophthalmology | 1383 N Mcdowell Blvd, Ste 100, Petaluma, CA 94954-1190 | 2013-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1588274724 | Katerina Kurteeva Md Inc | Ophthalmology | 3140 Bear St Ste 100, Costa Mesa, CA 92626-2964 | 2020-08-03 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1942821566 | Simon Eyes, Inc. | Ophthalmology | 3260 Beard Rd Ste 5, Napa, CA 94558-3466 | 2020-05-05 |
| 1942821905 | Nathan Abraham Md Vision Professionals Inc | Ophthalmology | 24305 Town Center Dr Ste 160, Valencia, CA 91355-1347 | 2020-04-30 |
| 1720609878 | Don Saul Ellis | Ophthalmology | 343 11th St, Del Mar, CA 92014-2607 | 2020-04-29 |
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
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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.