Empire Eye Doctors Medical Group Inc is a
Ophthalmology based in Santa Rosa, California. Empire Eye Doctors Medical Group Inc is licensed to practice in California (license number G32243) and their current practice location is
720 4th St, Santa Rosa, California. It can be reached at their office (for appointments etc.) via phone at
(707) 575-3800.
NPI number for Empire Eye Doctors Medical Group Inc is 1003806068 and their current mailing address is 720 4th St, Santa Rosa, California. Empire Eye Doctors Medical Group Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1003806068.
Healthcare Provider's Profile
| Full Name | Empire Eye Doctors Medical Group Inc |
|---|
| Type | Facility |
|---|
| Speciality | Ophthalmology |
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| Location | 720 4th St, Santa Rosa, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003806068
- Provider Enumeration Date: 10/21/2005
- Last Update Date: 05/01/2008
Medical Identifiers
Medical identifiers for Empire Eye Doctors Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003806068 | NPI | - | NPPES |
| CP5395 | Other | CA | RAILROAD MEDICARE |
| GR0016130 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 8739T (California) | Secondary |
| 152W00000X | Optometrist | T10471 (California) | Secondary |
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 8817T (California) | Secondary |
| 207W00000X | Ophthalmology | G32243 (California) | Primary |
| 207W00000X | Ophthalmology | G57122 (California) | Secondary |
| 207W00000X | Ophthalmology | G32019 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Empire Eye Doctors Medical Group Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Empire Eye Doctors Medical Group Inc
720 4th St,
Santa Rosa, CA 95404-4421
Ph: (707) 575-3800 | Empire Eye Doctors Medical Group Inc
720 4th St,
Santa Rosa, CA 95404-4421
Ph: (707) 575-3800 |
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