MEDICARE: AUBURN EYE CARE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPT8552TPG	CA

General Provider Information

NPI Number	:	1134663842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUBURN EYE CARE ASSOCIATES

Provider Business Mailing Address
First Line	:	3211 FORTUNE CT
Second Line	:	SUITE A
City	:	AUBURN
State	:	CA
Zip	:	95602-9245
Country	:	US
Telephone Number	:	530-885-6241
Fax Number	:	530-885-0144

Provider Business Practice Location Address
First Line	:	333 S AUBURN ST
Second Line	:	SUITE 1
City	:	COLFAX
State	:	CA
Zip	:	95713-9778
Country	:	US
Telephone Number	:	530-346-2269
Fax Number	:	530-346-2593

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANIEL ALAN BELAJIC
Credential	:
Telephone Number	:	530-885-6241

Provider Enumeration Date	:	12/14/2016
Last Update Date	:	03/02/2023

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