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Organization
EARLE BAUM CENTER OF THE BLIND INC.
Active
Organization
EARLE BAUM CENTER OF THE BLIND INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLAN BRENNER (PRESIDENT/CEO)
(707) 523-3222
Entity
Organization
Contact information
Practice address
4539 OCCIDENTAL RD, SANTA ROSA, CA 95401-5635
(707) 523-3222
(707) 636-2768
Mailing address
4539 OCCIDENTAL RD, SANTA ROSA, CA 95401-5635
(707) 523-3222
(707) 636-2768
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
8817T
CA
Other
Enumeration date
02/03/2010
Last updated
02/10/2015
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