North Bay Eye Associates, a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION

Practice address

1260 N Dutton Ave
Suite 160
Santa Rosa, CA 95401-4659

Phone

(707) 524-2442

NPI assigned

Jan 14, 2008

Organization subpart

Yes

Parent organization

NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Kimberlee K Breslin

Title

Accounts Receivable Manager

Phone

(707) 588-7946

Specialties & licenses 2

Addresses

Other names 1

• North Bay Eye Associates, Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• North Bay Eye Associates a Medical Corporation

  • Ophthalmology Physician
  • Rohnert Park, CA
  • NPI 1952418378

  O20050414000990

  Same enrollment
• North Bay Eye Associates, a Medical Corporation

  • Ophthalmology Physician
  • Petaluma, CA
  • NPI 1538344742

  O20050414000990

  Same enrollment
• North Bay Eye Associates, a Medical Corporation

  • Ophthalmology Physician
  • Sonoma, CA
  • NPI 1710163324

  O20050414000990

  Same enrollment

Part of

North Bay Eye Associates

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• North Bay Eye Associates a Medical Corporation

  • Ophthalmology Physician
  • Rohnert Park, CA
  • NPI 1952418378
  NPPES parent name

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184800799",
    "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": "707-524-2442",
            "fax_number": "707-524-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 N DUTTON AVE",
            "address_2": "SUITE 160",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014659",
            "telephone_number": "707-524-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION",
        "enumeration_date": "2008-01-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRESLIN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE MANAGER",
        "authorized_official_telephone_number": "707-588-7946"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Bay Eye Associates, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Hawley Norris, CMT
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• North Bay Cardiology Inc.
• North Bay Eye Associates a Medical Corporation
• North Bay Eye Associates, a Medical Corporation
• North Bay Foot and Ankle Clinic, Inc
• North Bay Medical Group Surgery Center
• North Bay Medical Group, Inc.
• North Bay Neuropsychology a Psychology Corporation

• Ophthalmology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.