CALIFORNIA EYE CLINIC (NPI# 1598192163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598192163 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EYE CLINIC |
| Practice Address |
301 Lennon Ln Suite 201 Walnut Creek CA 94598-2483 |
| Mailing Address |
Po Box 2539 Antioch CA 94531-2539 |
| Practice Telephone | 9259321123 |
| Practice Fax Number | 9259328650 |
| Mailing Telephone | 9257542625 |
| Mailing Fax Number | 9257558506 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | ROBERT S GROSSERODE (OWNER) |
| Authorized Official Telephone | 9257542625 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CALIFORNIA EYE CLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730479957 | California Eye Clinic | Ophthalmology | 111 Deerwood Road, San Ramon, CA 94583-4409 | 2011-04-08 |
| 1972774651 | California Eye Clinic | Optometrist | 1181 Central Blvd Ste F, Brentwood, CA 94513-2252 | 2008-03-20 |
| 1811168594 | California Eye Clinic | Optometrist | 2260 Gladstone Dr Ste 3, Pittsburg, CA 94565-5125 | 2008-03-20 |
| 1982909289 | California Eye Clinic | Ophthalmology | 2723 Crow Canyon Rd, Sutie 110, San Ramon, CA 94583-1583 | 2011-01-18 |
| 1598936288 | California Eye Clinic | Optometrist | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2008-03-20 |
| 1992840946 | California Eye Clinic | Durable Medical Equipment & Medical Supplies | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2007-02-20 |
| 1073658027 | California Eye Clinic | Ophthalmology | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2007-02-20 |
| 1982749933 | California Eye Clinic | Ophthalmology | 1181 Central Blvd, Suite F, Brentwood, CA 94513-2278 | 2007-02-20 |
| 1326183385 | California Eye Clinic | Ophthalmology | 2260 Gladstone Dr, Suite 3, Pittsburg, CA 94565-5125 | 2007-02-20 |
| 1912041021 | California Eye Clinic | Durable Medical Equipment & Medical Supplies | 2260 Gladstone Dr, Suite 3, Pittsburg, CA 94565-5125 | 2007-02-20 |
| Street Address |
301 LENNON LN SUITE 201 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94598-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639173545 | Lisa M Asta | Pediatrics | 301 Lennon Ln, Ste 203, Walnut Creek, CA 94598-2483 | 2005-06-08 |
| 1023621000 | Lan-anh Ho | Dentist | 301 Lennon Ln, Walnut Creek, CA 94598-2483 | 2020-08-28 |
| 1508355579 | Jing Ye | Dentist | 301 Lennon Ln, Walnut Creek, CA 94598 | 2018-05-05 |
| 1982097853 | Marianne Orton | Nurse Practitioner | 301 Lennon Ln, Suite 203, Walnut Creek, CA 94598-2483 | 2015-03-16 |
| 1184959033 | Jennifer Hisako Hayashi | Physician Assistant | 301 Lennon Ln, Suite 102, Walnut Creek, CA 94598-2483 | 2009-10-09 |
| 1487886214 | Rose Dastmalchi | Dentist | 301 Lennon Ln, Suite 101, Walnut Creek, CA 94598-2483 | 2009-08-12 |
| 1689819039 | Samir B. Shah, Md, Inc. | Ophthalmology | 301 Lennon Ln, Suite 201, Walnut Creek, CA 94598-2483 | 2008-12-12 |
| 1225172356 | California Eye Clinic | Ophthalmology | 301 Lennon Ln, Suite 201, Walnut Creek, CA 94598-2483 | 2007-02-20 |
| 1194876987 | Julienne Ha Heene | Optometrist | 301 Lennon Ln, Ste 201, Walnut Creek, CA 94598-2483 | 2007-01-16 |
| 1922018407 | Michael S Tobian | Dentist | 301 Lennon Ln, Suite 102, Walnut Creek, CA 94598-2483 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639716608 | Tasnim Diaf Moulton | Counselor | 2730 Shadelands Drive, Walnut Creek, CA 94598 | 2019-12-09 |
| 1790255370 | Harmony Grace Davis | Behavior Technician | 2730 Shadelands Drive Bldg 10, Walnut Creek, CA 94598 | 2018-11-27 |
| 1922583772 | Melissa Anne Mcgovern | Behavioral Analyst | 2370 Shadelands Drive, Bldg 10, Walnut Creek, CA 94598 | 2018-09-27 |
| 1184108367 | Brett Heflin Woodrufff | Behavior Technician | 2730 Shandeland Dr. Building 10, Walnut Creek, CA 94598 | 2018-09-24 |
| 1710411640 | Mandy Wei | Pharmacist | 2880 Shadeland Dr, Suite 201, Walnut Creek, CA 94598 | 2017-04-18 |
| 1437683497 | Hayley Miller | Student in an Organized Health Care Education/Training Program | 2204 Lomond Lane, Walnut Creek, CA 94598 | 2017-04-17 |
| 1043601594 | Marlene Perez Riedel | Nurse Practitioner | 450 North Wiget Lane, Walnut Creek, CA 94598 | 2015-02-05 |
| 1922418904 | Dante Michael Sorrentino | Ophthalmology | Kaiser Permanente Park Shadelands Medical Offices, 320 Lennon Lane, Walnut Creek, CA 94598 | 2014-04-30 |
| 1194156505 | Robert Harrison Hubbell | Obstetrics & Gynecology | 838 Stonehaven Dr, Walnut Creek, CA 94598 | 2013-12-11 |
| 1174954192 | Paul Mead | Orthopaedic Surgery | 2405 Shadelands Dr Ste 300, Walnut Creek, CA 94598 | 2013-12-01 |
| Find all providers in zip 94598 | ||||
| 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 |
|---|---|---|---|---|
| 1962026732 | Vous Ventures, Inc. | Durable Medical Equipment & Medical Supplies | 1001 Harvey Dr Apt 210, Walnut Creek, CA 94597-3602 | 2020-06-07 |
| 1881248912 | Sleepquest, Inc. | Durable Medical Equipment & Medical Supplies | 1399 Ygnacio Valley Rd Ste 2, Walnut Creek, CA 94598-2830 | 2019-07-26 |
| 1730241639 | Diablo Medical Supply | Durable Medical Equipment & Medical Supplies | 1147 Alpine Rd, Walnut Creek, CA 94596-4401 | 2006-12-15 |
| 1841364726 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 350 N Wiget Ln, Suite 100, Walnut Creek, CA 94598-2479 | 2006-11-20 |
| 1225102379 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 350 N Wiget Ln Ste 100, Walnut Creek, CA 94598-2449 | 2006-11-20 |
| 1154430510 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1997 Tice Valley Boulevard, Walnut Creek, CA 94595-2201 | 2006-08-30 |
| 1649389172 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1526 Palos Verdes Mall, Walnut Creek, CA 94596-2229 | 2006-08-29 |
| 1578677597 | Shield California Health Care Center Inc | Durable Medical Equipment & Medical Supplies | 2950 Buskirk Ave, Suite 180, Walnut Creek, CA 94597-7779 | 2006-08-18 |
| 1386659662 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2900 N Main St, Walnut Creek, CA 94597-2035 | 2006-07-29 |
| 1578597753 | Marzel's Inc. | Durable Medical Equipment & Medical Supplies | 1220 Oakland Blvd, Suite 100, Walnut Creek, CA 94596-8494 | 2006-07-11 |
| Find all providers in WALNUT CREEK | ||||
| City | WALNUT CREEK |
| Zip Code | 94598 |
Please comment or provide details below to improve the information on CALIFORNIA EYE CLINIC.
| 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.