Organization
NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION
Active
Parent organization
NORTH BAYE EYE ASSOCIATES, A MEDICAL CORPORATION
Other names
North Bay Eye Associates, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTH BAYE EYE ASSOCIATES, A MEDICAL CORPORATION
Authorized official
KIMBERLEE K BRESLIN (ACCOUNTS RECEIVABLE MANAGER)
(707) 588-7946
Entity
Organization
Contact information
Practice address
104 LYNCH CREEK WAY, SUITE 15, PETALUMA, CA 94954-2355
(707) 762-3573
(707) 762-6873
Mailing address
PO BOX 11688, SANTA ROSA, CA 95406-1688
(707) 588-7946
(707) 588-7940
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ZZZ42820Z
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
CA
Other
Enumeration date
01/07/2008
Last updated
07/21/2022
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