# EYE CARE CENTER OF NAPA VALLEY, A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1588103204
- **Authorized official:** JEAN MILLER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (707) 963-5236

## Contact information

- **Practice address:** 1287 INGLEWOOD AVE, SAINT HELENA, CA 94574-2215
- **Practice address phone:** (707) 963-5236
- **Practice address fax:** (707) 963-1492
- **Mailing address:** 895 TRANCAS ST, NAPA, CA 94558-3040
- **Mailing address phone:** (707) 252-2020
- **Mailing address fax:** (707) 252-0329

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 02/14/2017
- **Last updated:** 02/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1790781409 | — | CA |