Lighthouse for the Blind and Visually Impaired

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED

Practice address

4539 Occidental Rd
Santa Rosa, CA 95401-5635

Phone

(707) 523-3222

Fax

(415) 694-7330

NPI assigned

Nov 5, 2025

Last updated

Nov 5, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIREDAs reported in NPPES

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

Authorized official

Name

William Brandon Cox

Title

Interim Ceo / Chief Operating Offic

Phone

(415) 694-7347

Specialties & licenses 2

Addresses

Other names 1

• LightHouse for the Blind - Earle Baum Campus Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Lighthouse for the Blind and Visually Impaired

  • Low Vision Rehabilitation Optometrist
  • San Francisco, CA
  • NPI 1396856381

  O20210121002868

  Same enrollment

Part of

San Francisco Light

Locations

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.

• Lighthouse for the Blind and Visually Impaired

  • Low Vision Rehabilitation Optometrist
  • San Francisco, CA
  • NPI 1396856381
  NPPES parent name

Practitioners 4

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.

• Cheyenne Chinea Gengler, O.D.

  • Optometrist
  • Martinez, CA
  • NPI 1679861272
  NPD
• Marlena Akiko Chu, O.D.

  • Optometrist
  • Berkeley, CA
  • NPI 1255597266
  NPD
• Crystal Wang Wen, OD

  • Optometrist
  • Berkeley, CA
  • NPI 1972025302
  NPD
• Justin Jeffry Wright, OD

  • Optometrist
  • San Francisco, CA
  • NPI 1649754748
  NPD

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1316816416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 OCCIDENTAL RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015635",
            "telephone_number": "707-523-3222",
            "fax_number": "415-694-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 OCCIDENTAL RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015635",
            "telephone_number": "707-523-3222",
            "fax_number": "415-694-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIGHTHOUSE FOR THE BLIND AND VISUALLY IMPAIRED",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "INTERIM CEO / CHIEF OPERATING OFFIC",
        "authorized_official_telephone_number": "415-694-7347"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LightHouse for the Blind - Earle Baum Campus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lifeworks of Sonoma County
• Lifeworks of Sonoma County
• Lifeworks of Sonoma County
• Dan R Lightfoot, M.D.
• David V Lightfoot, M.D.
• Erin O. Liiv, LCSW
• Christina Lile
• Olivia Liles
• Anthony E Lim, M.D.
• Barnie Y Lim, O.D.

• Optometrist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.