Organization
NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION
Active
Parent organization
NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION
Other names
North Bay Eye Associates ASC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION
Authorized official
KIMBERLEE K BRESLIN (ACCOUNTS RECEIVABLE MANAGER)
(707) 588-7946
Entity
Organization
Contact information
Practice address
380 TESCONI CT, SANTA ROSA, CA 95401-4653
(707) 544-3375
(707) 544-0808
Mailing address
PO BOX 11688, SANTA ROSA, CA 95406-1688
(707) 588-7939
(707) 544-0808
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
110000297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110000297
LICENSE
CA
Enumeration date
08/23/2006
Last updated
07/21/2022
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