# NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1538344742
- **Legal business name:** NORTH BAYE EYE ASSOCIATES, A MEDICAL CORPORATION
- **Authorized official:** KIMBERLEE K BRESLIN (ACCOUNTS RECEIVABLE MANAGER)
- **Authorized official phone:** (707) 588-7946

## Contact information

- **Practice address:** 104 LYNCH CREEK WAY, SUITE 15, PETALUMA, CA 94954-2355
- **Practice address phone:** (707) 762-3573
- **Practice address fax:** (707) 762-6873
- **Mailing address:** PO BOX 11688, SANTA ROSA, CA 95406-1688
- **Mailing address phone:** (707) 588-7946
- **Mailing address fax:** (707) 588-7940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ZZZ42820Z | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | — |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 07/21/2022