Organization
EAST BAY EYE CENTERS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAMMY CARSON (PRACTICE ADMINISTRATOR)
(925) 830-2112
Entity
Organization
Contact information
Practice address
5801 NORRIS CANYON ROAD, SUITE 200, SAN RAMON, CA 94583-5406
(925) 830-8823
(925) 866-6610
Mailing address
5801 NORRIS CANYON RD STE 200, SAN RAMON, CA 94583-5440
(925) 830-8823
(925) 866-6610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ057067
BLUE CROSS
CA
01
—
ZZZ05706Z
BLUE SHIELD
CA
Enumeration date
05/09/2006
Last updated
01/11/2024
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