Empire Eye Doctors Medical Group Inc

LBN: Empire Eye Doctors Medical Group Inc
Empire Eye Doctors Medical Group Inc is an health care organization with primary practice located at 720 4Th St , Santa Rosa CA 95404-4421. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Empire Eye Doctors Medical Group Inc can be contacted via phone (707) 575-3800, or through Dow, Penny via phone (707) 575-3800.

Contact Information

Primary practice address
720 4Th St Santa Rosa CA 95404-4421
Phone: (707) 575-3800
Fax: (707) 528-4967
Website:
Map and Directions
Authorized official contact:
Name: Dow, Penny
Phone: (707) 575-3800

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8739T California
Eye and Vision Services Providers / Optometrist 152W00000X T10471 California
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 8817T California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G32243 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G57122 California
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G32019 California

Profile Details

NPI number 1003806068
LBN Legal business name Empire Eye Doctors Medical Group Inc
DBA Doing business as
Authorized official Dow, Penny
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated May 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003806068 NPPES
California Other CP5395 RAILROAD MEDICARE
California MEDICAID GR0016130 RAILROAD MEDICARE

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