NPIMap

Organization Active NPI

Eye Care Institute, a Medical Corporation

  • Ophthalmology Physician
  • Santa Rosa, CA
National Provider Identifier
1295740991
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CARE INSTITUTE, A MEDICAL CORPORATION
Practice address
3035 Cleveland Ave Ste 100
Santa Rosa, CA 95403-2122
Phone
(707) 545-3800
Fax
(707) 528-4967
NPI assigned
Jul 30, 2006
Last updated
Jun 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Authorized official

Name
Arwa AlsamaraeNPI 1487072534
Title
President
Phone
(707) 546-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

3035 Cleveland Ave Ste 100
Santa Rosa, CA 95403-2122

Mailing address

3035 Cleveland Ave Ste 100
Santa Rosa, CA 95403-3037
Phone (707) 545-3800

Other identifiers 2

IdentifierTypeStateIssuer
SD0098571MedicaidCA
ZZZ76363ZMedicaidCA

Other names 1

  • Santa Rosa Eye Physicians and Surgeons Medical Group, a Professional C Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080718000325 CA Part B Supplier - Clinic/Group Practice 7315010766 Receives reassigned benefits from 8 practitioners
Practice locations: Santa Rosa, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Institute AMC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

720 4th St
Santa Rosa, CA 95404
Phone (707) 544-3147

Interoperability endpoints

  • Direct secure messaging: mripa@eci.intellechartdirect.net
  • Direct secure messaging: vbrahma@eci.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781654400000",
    "number": "1295740991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 CLEVELAND AVE STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033037",
            "telephone_number": "707-545-3800",
            "fax_number": "707-528-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 CLEVELAND AVE STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032122",
            "telephone_number": "707-545-3800",
            "fax_number": "707-528-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE INSTITUTE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A",
        "authorized_official_last_name": "ALSAMARAE",
        "authorized_official_first_name": "ARWA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-546-9800"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0098571",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ76363Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Eye Physicians and Surgeons Medical Group, a Professional C",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Santa Rosa Eye Physicians and Surgeons Medical Group, a Professional C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.