Eye Care Institute, A Medical Corporation | |
3035 Cleveland Ave Ste 100, Santa Rosa, CA 95403-2122 | |
(707) 545-3800 | |
(707) 528-4967 |
Full Name | Eye Care Institute, A Medical Corporation |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 3035 Cleveland Ave Ste 100, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295740991 | NPI | - | NPPES |
SD0098571 | Medicaid | CA | |
ZZZ76363Z | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Kalane J Wong |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1114905494 PECOS PAC ID: 5294808549 Enrollment ID: I20080718000452 |
Provider Name | Bruce P Abramson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841278124 PECOS PAC ID: 4082787338 Enrollment ID: I20080718000475 |
Provider Name | Daniel G Rich |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710965058 PECOS PAC ID: 8628018652 Enrollment ID: I20080718000537 |
Provider Name | Robert L Anderson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801874144 PECOS PAC ID: 9537232988 Enrollment ID: I20080718000568 |
Provider Name | Nina Ni |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1780959734 PECOS PAC ID: 9830321819 Enrollment ID: I20150713003206 |
Provider Name | Lillian Yang |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871855411 PECOS PAC ID: 1951550466 Enrollment ID: I20161027000898 |
Provider Name | Arwa Alsamarae |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487072534 PECOS PAC ID: 3375768351 Enrollment ID: I20190612000828 |
Provider Name | Avni A Shah |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1598007676 PECOS PAC ID: 8628390416 Enrollment ID: I20190912001305 |
Provider Name | Venkatesh Brahma |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1760877906 PECOS PAC ID: 3173836681 Enrollment ID: I20220804002236 |
Mailing Address | Practice Location Address |
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Eye Care Institute, A Medical Corporation 3035 Cleveland Ave Ste 100, Santa Rosa, CA 95403-2122 Ph: (707) 545-3800 | Eye Care Institute, A Medical Corporation 3035 Cleveland Ave Ste 100, Santa Rosa, CA 95403-2122 Ph: (707) 545-3800 |