BRUCE D. GAYNOR, M.D., MEDICAL CORPORATION (NPI# 1548334006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548334006 |
| Entity Type | Organization |
| Organization Name | BRUCE D. GAYNOR, M.D., MEDICAL CORPORATION |
| Other Organization Name | INVISION EYE CENTER |
| Practice Address |
4720 Hoen Ave Santa Rosa CA 95405-7867 |
| Practice Telephone | 7075278222 |
| Mailing Telephone | 7075278222 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DR. BRUCE DAVID GAYNOR (PRESIDENT) |
| Authorized Official Telephone | 7075278222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
G84535 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G845350 | 05 | |
| CA | MEDICARE RAILROAD | 180041368 | 01 |
| Other Name | Type Code |
|---|---|
| Invision Eye Center | Doing Business As Name - Organization |
| Street Address |
4720 HOEN AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-7867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699770396 | Edward L Feldman | Ophthalmology | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2005-06-17 |
| 1689747602 | Allen George Gruber | Anesthesiology | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-11-16 |
| 1972534253 | Bruce David Gaynor | Specialist | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-07-05 |
| 1215995337 | Martin Dan Rubinger | Internal Medicine | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-05-01 |
| 1588631907 | Edward L Feldman Md | Specialist | 4720 Hoen Ave, Santa Rosa, CA 95405-7867 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023030301 | Robert Arthur Yohai | Technician/Technologist | 864 2nd St, Santa Rosa, CA 95404-4610 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245718691 | Artansia Washington | Technician/Technologist | 535 W Flora St Apt 1, Stockton, CA 95203-2433 | 2018-07-29 |
| 1790972693 | Ocular Surgery Medical Associates | Technician/Technologist | 1245 Wilshire Blvd Ste 801, Los Angeles, CA 90017-4808 | 2007-09-25 |
| 1679696124 | Eyes of Bay | Technician/Technologist | 1005 El Camino Real, Redwood City, CA 94063-1692 | 2007-04-09 |
| 1679609234 | Hoang Duy Nguyen | Technician/Technologist | 9371 Kramer Ave, Ste. F, Westminster, CA 92683-5938 | 2007-02-26 |
| 1598832909 | Fullerton Eye Medical Center | Technician/Technologist | 1321 N Harbor Blvd Ste 300, Fullerton, CA 92835-4131 | 2006-11-29 |
| 1013083518 | Margaret T Taw | Technician/Technologist | 3356 W. Ball Rd. Ste. #206, Anaheim, CA 92804 | 2006-11-27 |
| 1720189061 | Rose Medical Group | Technician/Technologist | 2400 N Broadway, Los Angeles, CA 90031-2219 | 2006-09-26 |
| 1588678841 | Edgar A Lucidi | Technician/Technologist | 328 Hazel Drive, Corona Del Mar, CA 92625-3031 | 2006-07-29 |
| 1255351755 | Gregory Clifton Tesluk | Technician/Technologist | 400 E Orangeburg Ave Ste 2, Modesto, CA 95350-5365 | 2006-07-20 |
| 1144248881 | J. Dennis Steen | Technician/Technologist | 1825 Main St, Susanville, CA 96130-4518 | 2006-07-18 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on BRUCE D. GAYNOR, M.D., 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.