# BARTH VISION SURGICAL SUITE LLC

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

## Provider details

- **NPI number:** 1255062691
- **Authorized official:** GARY BARTH MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (707) 955-1120

## Contact information

- **Practice address:** 1035 2ND ST, SANTA ROSA, CA 95404-6608
- **Practice address phone:** (707) 955-1120
- **Mailing address:** 1035 2ND ST, SANTA ROSA, CA 95404-6608
- **Mailing address phone:** (707) 955-1120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2022
- **Last updated:** 08/22/2023