EYE CONNECTION INCORPORATED (NPI# 1558417428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558417428 |
| Entity Type | Organization |
| Organization Name | EYE CONNECTION INCORPORATED |
| Other Organization Name | SITE FOR SORE EYES |
| Practice Address |
208 Vintage Way Ste K11 Novato CA 94945-5058 |
| Practice Telephone | 4158973377 |
| Practice Fax Number | 4158975722 |
| Mailing Telephone | 4158973377 |
| Mailing Fax Number | 4158975722 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHRIS KIM (CEO) |
| Authorized Official Telephone | 4158973377 |
| Authorized Official Credential | DISPENSING OPTIC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
CL648 | CA | Eye and Vision Services Providers |
| X | 156FX1800X |
Technician/Technologist Specialization: Optician |
SL1717 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | DX006683F | 01 |
| Other Name | Type Code |
|---|---|
| Site for Sore Eyes | Doing Business As Name - Organization |
| Street Address |
208 VINTAGE WAY STE K11 |
| City | NOVATO |
| State | CA |
| Zip Code | 94945-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932240215 | Steven Lawrence Lowe | Optometrist | 208 Vintage Way Ste K11, Novato, CA 94945-5058 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124639943 | Joseph Francis Bielefeld | Nurse Practitioner | Marinhealth, 75 Rowland Way, #230, Novato, CA 94945 | 2020-08-14 |
| 1255835203 | California Orthopedics & Spine Inc | Physical Therapist | 7100 Redwood Boulevard, Suite 200, Novato, CA 94945 | 2018-03-22 |
| 1932601648 | Dawn Cheree Holiday-bruner | Marriage & Family Therapist | 6965 Redwood Blvd, Novato, CA 94945 | 2018-03-08 |
| 1558789545 | Kristi Marie Hudson | Marriage & Family Therapist | 7250 Redwood Blvd., Suite 300, Novato, CA 94945 | 2014-04-07 |
| 1467738484 | Andrea E Lieberstein | Dietitian, Registered | 800 De Long Avenue, Suite 100, Novato, CA 94945 | 2011-10-24 |
| 1992954473 | Elizabeth Taryn Clark | Marriage & Family Therapist | 7250 Redwood Blvd Ste 320, Novato, CA 94945 | 2008-09-09 |
| 1255508453 | Renew Physical Therapy PC | Clinic/Center | 1427 Grant Ave, Novato, CA 94945 | 2008-05-15 |
| 1407032824 | Richard P. Knudsen | Pediatrics | 100 Rowland Way, Suite 300, Pulmonary and Sleep Associates of Marin, Novato, CA 94945 | 2008-01-16 |
| 1528250735 | Susan Jean Arndt | Counselor | 505-a San Marin Drive Suite 150, Novato, CA 94945 | 2007-08-11 |
| 1588871735 | Margaret Carol Pappas | Registered Nurse | 1025 Fifth Street, Novato, CA 94945 | 2007-05-17 |
| Find all providers in zip 94945 | ||||
| Taxonomy Code | 156FC0801X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Contact Lens Fitter |
| An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104170158 | Roberta J. Allen | Technician/Technologist | 3590 Moorpark Ave, San Jose, CA 95117-2156 | 2012-10-30 |
| 1235419722 | Aleanthea Cooks | Technician/Technologist | 1991 Central Ave, Ste 3, Highland, CA 92346-2442 | 2011-08-28 |
| 1588962260 | Linda K Holcroft | Technician/Technologist | 37398 Berkshire Dr Ste C, Madera, CA 93636-8779 | 2011-03-04 |
| 1801072418 | Duncan Yang | Technician/Technologist | 1758 Sierra Leone Ave Ste B, Rowland Heights, CA 91748-5837 | 2008-01-14 |
| 1548456585 | William V. Lyon | Technician/Technologist | 3000 W Macarthur Blvd Ste 413, Santa Ana, CA 92704-6941 | 2007-09-24 |
| 1265632152 | David Van Hartesvelt | Technician/Technologist | 12902 Foothill Blvd, Suite H, Sylmar, CA 91342-4900 | 2007-07-19 |
| 1760604797 | Reina A Zelaya | Technician/Technologist | 6909 Reseda Blvd, Reseda, CA 91335-4207 | 2007-05-02 |
| 1073649273 | Mid-peninsula Optical | Technician/Technologist | 883 Santa Cruz Ave, Menlo Park, CA 94025-4638 | 2007-02-24 |
| 1013074160 | Robert E Paquette Optician Inc | Technician/Technologist | 785 Castro St Ste C, Mountain View, CA 94041-2013 | 2007-01-01 |
| 1275698896 | Romualdo D. Enriquez | Technician/Technologist | 5805 Mission St, San Francisco, CA 94112-4017 | 2006-12-26 |
| 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.