# EARLE BAUM CENTER OF THE BLIND INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013249986
- **Authorized official:** MR. ALLAN BRENNER (PRESIDENT/CEO)
- **Authorized official phone:** (707) 523-3222

## Contact information

- **Practice address:** 4539 OCCIDENTAL RD, SANTA ROSA, CA 95401-5635
- **Practice address phone:** (707) 523-3222
- **Practice address fax:** (707) 636-2768
- **Mailing address:** 4539 OCCIDENTAL RD, SANTA ROSA, CA 95401-5635
- **Mailing address phone:** (707) 523-3222
- **Mailing address fax:** (707) 636-2768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 8817T | CA | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 02/10/2015