Organization
NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION
Active
Other names
North Bay Eye Associates, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H BARTLETT MD (DIRECTOR)
(707) 544-3375
Entity
Organization
Contact information
Practice address
50 PROFESSIONAL CENTER DR, SUITE 210, ROHNERT PARK, CA 94928-2164
(707) 588-7939
(707) 588-7941
Mailing address
50 PROFESSIONAL CENTER DR, SUITE 210, ROHNERT PARK, CA 94928-2164
(707) 588-7939
(707) 588-7941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0068570
—
CA
05
—
GR0068571
—
CA
05
—
GR0068572
—
CA
05
—
GR0068573
—
CA
05
—
GR0068574
—
CA
01
—
ZZZ51591Z
BS PETALUMA GROUP
CA
01
—
ZZZ51592Z
BS SANTA ROSA GROUP
CA
01
—
ZZZ55446Z
BS HEALDSBURG GROUP
CA
01
—
ZZZ61166Z
BS TESCONI COURT GROUP
CA
Enumeration date
08/23/2006
Last updated
09/27/2012
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