Eye Care Institute, a Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CARE INSTITUTE, A MEDICAL CORPORATION

Practice address

1370 Medical Center Dr
Suite a
Rohnert Park, CA 94928-2934

Phone

(707) 585-6110

Fax

(707) 585-6145

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Daniel G. Rich, M.D.

Title

Corporation President

Phone

(707) 546-9800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Santa Rosa Eye Physicians and Surgeons, a Prof Corp Former legal business name

Tax ID family

Harris Barth and Anders4 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.

• Eye Care Institute, a Medical Corporation

  • Durable Medical Equipment & Medical Supplies
  • Santa Rosa, CA
  • NPI 1083141857
  NPD tax ID
• Eye Care Institute, a Medical Corporation

  • Ophthalmology Physician
  • Santa Rosa, CA
  • NPI 1295740991
  NPD tax ID
• Eye Care Institute, a Medical Corporation

  • Durable Medical Equipment & Medical Supplies
  • Rohnert Park, CA
  • NPI 1609932342
  NPD tax ID

Locations

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1699831115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 2ND ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046608",
            "telephone_number": "707-546-9800",
            "fax_number": "707-546-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 MEDICAL CENTER DR",
            "address_2": "SUITE A",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282934",
            "telephone_number": "707-585-6110",
            "fax_number": "707-585-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE INSTITUTE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "CORPORATION PRESIDENT",
        "authorized_official_telephone_number": "707-546-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ76363Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0098571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Santa Rosa Eye Physicians and Surgeons, a Prof Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Megan Epstein, PPS
• Erick N. Cuenca DMD Inc (Rohnert Park Dental)
• Kim Ngoc Etheart, PHARM.D
• Jodelyn Teofila Ettlin, PTA
• Eye Care Institute, a Medical Corporation
• Farrell Chiropractic, Inc. (Salud Chiropractic)
• Angelica Farrell, DC
• Romayne Elizabeth Farrell, NP
• Marc T Fields, MD
• Christina Renee Fifer, R.D.

• Ophthalmology Physician in Rohnert Park, CA
• Providers in Rohnert Park, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.