Organization
EYE CARE INSTITUTE, A MEDICAL CORPORATION
Active
Other names
Santa Rosa Eye Physicians and Surgeons, a Prof Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL G. RICH M.D. (CORPORATION PRESIDENT)
(707) 546-9800
Entity
Organization
Contact information
Practice address
1370 MEDICAL CENTER DR, SUITE A, ROHNERT PARK, CA 94928-2934
(707) 585-6110
(707) 585-6145
Mailing address
1017 2ND ST, SANTA ROSA, CA 95404-6608
(707) 546-9800
(707) 546-4112
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0098571
—
CA
05
—
ZZZ76363Z
—
CA
Enumeration date
12/29/2006
Last updated
08/24/2010
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