CALIFORNIA EYE CLINIC (NPI# 1992840946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992840946 |
| Entity Type | Organization |
| Organization Name | CALIFORNIA EYE CLINIC |
| Other Organization Name | ROBERT S. GROSSERODE & IVAN P. HWANG |
| Practice Address |
3747 Sunset Ln Antioch CA 94509-6101 |
| Practice Telephone | 9257547100 |
| Mailing Telephone | 9257547100 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KELLY CREIGHTON (BOOKKEEPING MANAGER) |
| Authorized Official Telephone | 9257542300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Robert S. Grosserode & Ivan P. Hwang | Other Name - Individual/Organization |
| 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 |
| 1598192163 | California Eye Clinic | Durable Medical Equipment & Medical Supplies | 301 Lennon Ln, Suite 201, Walnut Creek, CA 94598-2483 | 2013-09-27 |
| 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 |
| 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 |
3747 SUNSET LN |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94509-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942344197 | Frances V Ong | Optometrist | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2007-02-19 |
| 1750934162 | Avani Palvankar | Optometrist | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2019-07-24 |
| 1598936288 | California Eye Clinic | Optometrist | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2008-03-20 |
| 1073658027 | California Eye Clinic | Ophthalmology | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2007-02-20 |
| 1982748232 | Robert Stephen Grosserode | Ophthalmology | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2007-02-19 |
| 1598809758 | California Eye Clinic | Clinic/Center | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2007-02-19 |
| 1023152378 | Ivan P Hwang | Ophthalmology | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2007-02-19 |
| 1558405712 | David L Huff | Optometrist | 3747 Sunset Ln, Antioch, CA 94509-6101 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
| 1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
| 1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
| 1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
| 1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
| 1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
| 1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
| 1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
| 1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
| Find all providers in zip 94509 | ||||
| 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 |
|---|---|---|---|---|
| 1851999346 | Izzy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1706 Antioch Pike # A, Antioch, TN 37013-2717 | 2020-10-15 |
| 1619590445 | Wayfarer, Inc. | Durable Medical Equipment & Medical Supplies | 1416 Antioch Pike Ste 101, Antioch, TN 37013-2766 | 2020-05-27 |
| 1700144003 | Arriva Medical LLC | Durable Medical Equipment & Medical Supplies | 5270 Crossings Blvd, Antioch, TN 37013 | 2012-04-25 |
| 1346526902 | Serve All Medical Supplies | Durable Medical Equipment & Medical Supplies | 4101 Amargosa Dr, Antioch, CA 94531-8243 | 2011-10-27 |
| 1669775110 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 4028 Lone Tree Way, Antioch, CA 94531-6209 | 2010-12-06 |
| 1215262514 | Max Mobility, LLC | Durable Medical Equipment & Medical Supplies | 5425 Mount View Pkwy, Antioch, TN 37013-3149 | 2009-10-05 |
| 1174750913 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 3532 Murfreesboro Pike, Antioch, TN 37013-2210 | 2009-06-19 |
| 1871729988 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 983 Il Route 59, Antioch, IL 60002-1453 | 2009-06-03 |
| 1215176201 | Promisecare Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 605 Bakertown Rd, Antioch, TN 37013-2657 | 2009-02-13 |
| 1750455630 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 4849 Lone Tree Way Ste A, Antioch, CA 94531-8644 | 2006-11-20 |
| Find all providers in ANTIOCH | ||||
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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.