Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PETALUMA EYE CARE OPTOMETRIC ASSOCIATES, INC. A PROFESSIONAL CORP.
Active
Organization
PETALUMA EYE CARE OPTOMETRIC ASSOCIATES, INC. A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LEE HARRIS O.D. (OWNER)
(707) 763-2020
Entity
Organization
Contact information
Practice address
129 KELLER ST, PETALUMA, CA 94952-2934
(707) 763-2020
(707) 763-4735
Mailing address
129 KELLER ST, PETALUMA, CA 94952-2934
(707) 763-2020
(707) 763-4735
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04916T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9300440
—
CA
01
—
P01009218
RAILROAD MEDICARE
CA
Enumeration date
07/30/2009
Last updated
02/14/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up