NPIMap

Organization Active NPI

North Bay Eye Associates, Inc

  • Optometrist
  • Lakeport, CA
National Provider Identifier
1003256678
Registry record updated Jun 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT7408TSA Issued in CA
Legal business name
NORTH BAY EYE ASSOCIATES, INC
Practice address
225 S Main St
Lakeport, CA 95453-5018
Phone
(707) 588-9179
Fax
(707) 588-7941
NPI assigned
Jun 27, 2013
Last updated
Jun 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diana Arreguin
Title
Assistant Administrator
Phone
(707) 588-9179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT7408TSA CA Primary

Addresses

Primary practice location

225 S Main St
Lakeport, CA 95453-5018

Mailing address

PO Box 11688
Santa Rosa, CA 95406-1688
Phone (707) 588-9179

National Provider Directory

National Provider Directory
Tax ID family
North Bay Eye Associate6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/nb49ea77

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1003256678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11688",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954061688",
            "telephone_number": "707-588-9179",
            "fax_number": "707-588-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535018",
            "telephone_number": "707-588-9179",
            "fax_number": "707-588-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY EYE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "ARREGUIN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "707-588-9179"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7408TSA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.