MEDICARE: DR. JANET CADDELL O.D.

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	152WL0500X	Low Vision Rehabilitation Optometrist	8817T	CA

General Provider Information

NPI Number	:	1700876760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET CADDELL O.D.

Provider Business Mailing Address
First Line	:	2451 SUMMERFIELD RD
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-7815
Country	:	US
Telephone Number	:	707-526-4050
Fax Number	:	707-569-1366

Provider Business Practice Location Address
First Line	:	2451 SUMMERFIELD RD
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-7815
Country	:	US
Telephone Number	:	707-526-4050
Fax Number	:	707-569-1366

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	07/06/2015

Similar Medicare Providers

1538167226 — WENDY A WILLIAMS P.A.-C
Practice Location Address:

2455 SUMMERFIELD RD
SANTA ROSA, CA
95405-7815

Practice Phone: 707-523-2666
Practice Fax: 707-523-3399

1245213776 — MR. MICHAEL E MARTIN MD
Practice Location Address:

2461 SUMMERFIELD RD
SANTA ROSA, CA
95405-7815

Practice Phone: 707-525-0211
Practice Fax: 707-525-0491

1144281635 — DR. GARY NEAL FURNESS MD
Practice Location Address:

2455 SUMMERFIELD RD
SANTA ROSA, CA
95405-7815

Practice Phone: 707-523-2666
Practice Fax: 707-523-3399

1114969441 — SANTA ROSA HEAD AND NECK SURGICAL GROUP, INC
Practice Location Address:

2451 SUMMERFIELD RD
SANTA ROSA, CA
95405-7815

Practice Phone: 707-523-7025
Practice Fax: 707-591-0224

1548285950 — STEVEN A MITNICK MD
Practice Location Address:

2455 SUMMERFIELD RD
SANTA ROSA, CA
95405-7815

Practice Phone: 707-308-2815
Practice Fax:

1780769182 — MARK C BOWMAN O.D.
Practice Location Address:

2451 SUMMERFIELD RD
SANTA ROSA, CA
95405-7815

Practice Phone: 707-526-4050
Practice Fax: 707-569-1366

Directions to “ DR. JANET CADDELL O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.