Organization
EAST BAY EYE CENTERS MEDICAL CORPORATION
Active
Organization
EAST BAY EYE CENTERS MEDICAL CORPORATION
Active
Other names
Mission Valley Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY A CARSON (PRACTICE ADMINISTRATOR)
(925) 830-2112
Entity
Organization
Contact information
Practice address
39263 MISSION BLVD, STE. 1, FREMONT, CA 94539-3037
(510) 796-4500
(510) 796-4573
Mailing address
39263 MISSION BLVD, STE. 1, FREMONT, CA 94539-3037
(510) 796-4500
(510) 796-4573
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
A34847
CA
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
A34847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SUR01190F
—
CA
Enumeration date
03/08/2007
Last updated
07/20/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up