# EYE CARE CENTER OF NAPA VALLEY A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1790781409
- **Authorized official:** KENA BURKE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (707) 252-2020

## Contact information

- **Practice address:** 895 TRANCAS ST, NAPA, CA 94558-3040
- **Practice address phone:** (707) 252-2020
- **Practice address fax:** (707) 252-0329
- **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:** 06/27/2005
- **Last updated:** 12/12/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0081110 | — | CA |