# NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION
- **Other names:** North Bay Eye Associates ASC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1073620415
- **Legal business name:** NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION
- **Authorized official:** KIMBERLEE K BRESLIN (ACCOUNTS RECEIVABLE MANAGER)
- **Authorized official phone:** (707) 588-7946

## Contact information

- **Practice address:** 380 TESCONI CT, SANTA ROSA, CA 95401-4653
- **Practice address phone:** (707) 544-3375
- **Practice address fax:** (707) 544-0808
- **Mailing address:** PO BOX 11688, SANTA ROSA, CA 95406-1688
- **Mailing address phone:** (707) 588-7939
- **Mailing address fax:** (707) 544-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 110000297 | CA | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 07/21/2022