| Organization Name: | EYE CENTER OF NORTHERN CALIFORNIA |
| NPI Number: | 1083874648 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM ELLIS (DIRECTOR/OWNER) |
| Mailing Address: | 6500 Fairmount Ave El Cerrito |
| State: | CA US |
| Postal Code: | 945303667 |
| Phone Number: | 5105252600 |
| Fax Number: | 5105241887 |
| NPI Enumeration Date: | 06/16/2008 |
| NPI Last Update Date: | 06/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 140000382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |