| Organization Name: | EARLE BAUM CENTER OF THE BLIND INC. |
| NPI Number: | 1013249986 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALLAN BRENNER (PRESIDENT/CEO) |
| Mailing Address: | 4539 Occidental Rd Santa Rosa |
| State: | CA US |
| Postal Code: | 954015635 |
| Phone Number: | 7075233222 |
| Fax Number: | 7076362768 |
| NPI Enumeration Date: | 02/03/2010 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WL0500X |
| License Number: | 8817T |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Low Vision Rehabilitation |
| Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |