Whalio Doctors

NPI 1003806068

Empire Eye Doctors Medical Group INC

Organisation Ophthalmology Physician Santa Rosa, CA

Practice location

Address
720 4th St, Santa Rosa, CA 95404-4421
Phone
(707) 575-3800
Fax
(707) 528-4967

Authorised official

Name
Penny Dow
Title
Billing Manager
Phone
(707) 575-3800

Registered specialties (6)

Ophthalmology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence G32243 (CA)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 8739T (CA)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence T10471 (CA)
Low Vision Rehabilitation Optometrist
Eye and Vision Services Providers Taxonomy 152WL0500X Licence 8817T (CA)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence G57122 (CA)
Ophthalmology Physician
Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence G32019 (CA)

Registry record

NPI
1003806068
Entity type
Organization
NPI issued
21 Oct 2005
Record last updated
1 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.