Civileyes LLC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

D7168 Issued in CA

Legal business name

CIVILEYES LLC

Practice address

119 C St
Petaluma, CA 94952-3069

Phone

(707) 766-7000

NPI assigned

May 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Lee Evans, ABOC

Title

Owner

Phone

(707) 766-7000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Sterrett Brennan, O.D.

  • Optometrist
  • Petaluma, CA
  • NPI 1740321710
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225245772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 C ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523069",
            "telephone_number": "707-766-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 C ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523069",
            "telephone_number": "707-766-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIVILEYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-766-7000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D7168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elene Hwa-Yihg Chung, L.AC.
• Michelle Rose Ciaravella, L.P.N.
• Thomas W Cicciarelli, PSY.D.
• Cinnabar School District
• City of Petaluma Ambulance Service
• Ashley Michelle Clark
• Jennifer A Clark, LCSW
• Julie D Clark, MD
• Margaret Liberty Clark
• Robert L. Clark, PT

• Optician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.