Organization · Type 2 NPI
Eye Associates of Sebastopol Medical Group
Eyewear Supplier · Clearlake, CA
NPI number
1770734659
Active
Practice location
14709 Lakeshore Drive
Clearlake, CA 95422-5539
Fax (707) 994-5015
Mailing address
PO Box 5539
Clearlake, CA 95422-5539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 97-518945 00004 JH (CA) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
About NPI 1770734659
Eye Associates of Sebastopol Medical Group's National Provider Identifier is 1770734659, issued on Oct 9, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Clearlake, CA. The record was last updated on Oct 9, 2008.