Invision Eye Center
LBN: Bruce D. Gaynor, M.D., Medical Corporation
Invision Eye Center is an health care organization with primary practice located at 4720 Hoen Ave , Santa Rosa CA 95405-7867. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Ophthalmic, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Ophthalmic is the primary health care specialty.
Bruce D. Gaynor, M.D., Medical Corporation can be contacted via phone (707) 527-8222, or through Gaynor, Bruce David via phone (707) 527-8222.
Contact Information
Primary practice address
4720 Hoen Ave
Santa Rosa CA 95405-7867
Phone: (707) 527-8222
Fax:
Website:
Authorized official contact:
Name: Gaynor, Bruce David Doctor of Medicine (MD)
Phone: (707) 527-8222
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Ophthalmic | 156FX1100X | G84535 | California |
Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
NPI number | 1548334006 |
---|---|
LBN Legal business name | Bruce D. Gaynor, M.D., Medical Corporation |
DBA Doing business as | Invision Eye Center |
Authorized official | Gaynor, Bruce David Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 17th, 2006 |
Last updated | Jun 17th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548334006 | NPPES |
California | Other | 180041368 | MEDICARE RAILROAD |
California | MEDICAID | 00G845350 | MEDICARE RAILROAD |
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