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Organization
LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED
Active
Organization
LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED
Active
Parent organization
LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED
Other names
LightHouse for the Blind - Earle Baum Campus
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED
Authorized official
WILLIAM BRANDON COX (INTERIM CEO / CHIEF OPERATING OFFIC)
(415) 694-7347
Entity
Organization
Contact information
Practice address
4539 OCCIDENTAL RD, SANTA ROSA, CA 95401-5635
(707) 523-3222
(415) 694-7330
Mailing address
4539 OCCIDENTAL RD, SANTA ROSA, CA 95401-5635
(707) 523-3222
(415) 694-7330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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