Organization Active NPI

Eye Associates of Northern California Medical Group Inc.

Doing business as Mark Schluter MD and Sophia Schluter MD

  • Ophthalmology Physician
  • Sonoma, CA
National Provider Identifier
1396939682
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE ASSOCIATES OF NORTHERN CALIFORNIA MEDICAL GROUP INC.
Doing business as
Mark Schluter MD and Sophia Schluter MD
Sonoma Eye
Practice address
696 3Rd St W
Sonoma, CA 95476
Phone
(707) 996-1900
Fax
(707) 996-4396
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Dr. Sophia W Schluter, MDNPI 1982682324
Title
President
Phone
(707) 996-1900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

696 3Rd St W
Sonoma, CA 95476

Mailing address

696 3Rd St W
Sonoma, CA 95476-6805
Phone (707) 996-1900

Other names 2

  • Mark Schluter MD and Sophia Schluter MD Doing business as
  • SONOMA EYE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080228000727 CA Part B Supplier - Clinic/Group Practice 9931283900 Receives reassigned benefits from 2 practitioners
Practice locations: Sonoma, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1396939682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766805",
            "telephone_number": "707-996-1900",
            "fax_number": "707-996-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 3RD ST W",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "95476",
            "telephone_number": "707-996-1900",
            "fax_number": "707-996-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF NORTHERN CALIFORNIA MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "SCHLUTER",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-996-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Schluter MD and Sophia Schluter MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mark Schluter MD and Sophia Schluter MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SONOMA EYE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.