Organization Name: | NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION |
NPI Number: | 1710163324 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLEE K BRESLIN (ACCOUNTS RECEIVABLE MANAGER) |
Mailing Address: | 545 3rd St W Sonoma |
State: | CA US |
Postal Code: | 954766501 |
Phone Number: | 7079961052 |
Fax Number: | 7079966787 |
NPI Enumeration Date: | 01/14/2008 |
NPI Last Update Date: | 12/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |