Earle Baum Center Of The Blind Inc.

NPI 1013249986 - Optometrist - 152WL0500X

NPI Details
NPI 1013249986
Enumeration Date 02/03/2010
Last Updated 02/10/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ALLAN ALLAN
Position PRESIDENT/CEO
Phone (707) 523-3222
Fax (707) 636-2768
Practice Location
4539 OCCIDENTAL RD
SANTA ROSA CA, 95401-5635, US
Phone (707) 523-3222
Fax (707) 636-2768
Business Location
4539 OCCIDENTAL RD
SANTA ROSA CA, 95401-5635, US
Phone (707) 523-3222
Fax (707) 636-2768
Toxanomy
Taxonomy Code 152WL0500X
License State California
License Number 8817T
Remove 1013249986 NPI Number
 

According to our database, Earle Baum Center Of The Blind Inc. NPI is 1013249986, taxonomy code is 152WL0500X and license number is 8817T, license state is located at California. Earle Baum Center Of The Blind Inc. physically located at 4539 Occidental Rd, Santa Rosa CA, 95401-5635. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1013249986 NPI number is provided on an as is basis without warranty of any kind. 1013249986 is maintained by the National Plan & Provider Enumeration System. The contents of Earle Baum Center Of The Blind Inc. are for informational purposes only.