# DANVILLE-SAN RAMON EYE MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roger A Greenwald MD Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437146206
- **Authorized official:** MRS. CLAUDIA SUSANA PINILLA MD (PRESIDENT)
- **Authorized official phone:** (925) 837-6428

## Contact information

- **Practice address:** 909 SAN RAMON VALLEY BLVD, STE 114, DANVILLE, CA 94526-4038
- **Practice address phone:** (925) 837-6428
- **Practice address fax:** (925) 837-1403
- **Mailing address:** 909 SAN RAMON VALLEY BLVD, STE 114, DANVILLE, CA 94526-4038
- **Mailing address phone:** (925) 837-6428
- **Mailing address fax:** (925) 837-1403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | CA | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CS4583 | MEDICARE RR | CA |
| 05 | — | GR0084620 | — | CA |
| 01 | — | ZZZ57540Z | BLUE SHIELD | CA |