Healthcare Provider Details

I. General information

NPI: 1982136164
Provider Name (Legal Business Name): CENTER FOR THE BLIND AND VISUALLY IMPAIRED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 03/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1721 WESTWIND DR STE B
BAKERSFIELD CA
93301-3026
US

IV. Provider business mailing address

1721 WESTWIND DR STE B
BAKERSFIELD CA
93301-3026
US

V. Phone/Fax

Practice location:
  • Phone: 661-322-5234
  • Fax: 661-324-1176
Mailing address:
  • Phone: 661-322-5234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: SANDY REED
Title or Position: BILLING MANAGER
Credential:
Phone: 661-843-7616