Earle Baum Center Of The Blind INC.
Optometrist, Low Vision Rehabilitation in Santa Rosa, CA. Organization (NPI-2).
NPI number1013249986
StatusActive
Last updated in NPPESFeb 10, 2015
Details
- NPI
- 1013249986
- Entity type
- Organization (NPI-2)
- Legal business name
- Earle Baum Center Of The Blind INC.
- Organization subpart
- No
- Enumeration date
- Feb 3, 2010
- Last updated
- Feb 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WL0500X | Optometrist, Low Vision Rehabilitation | 8817T | CA | Yes |
Practice location
4539 Occidental RdSanta Rosa, CA 95401-5635
Phone 707-523-3222 · Fax 707-636-2768
Mailing address
4539 Occidental RdSanta Rosa, CA 95401-5635
Phone 707-523-3222 · Fax 707-636-2768
Authorized official
Allan Brenner
President/Ceo
7075233222
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Low Vision Rehabilitation Optometrist providers in Santa Rosa, CA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.