Healthcare Provider Details

I. General information

NPI: 1013232131
Provider Name (Legal Business Name): ERIC MATTHEW LINDSEY B.C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2010
Last Update Date: 07/31/2024
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2575 E BIDWELL ST STE 240
FOLSOM CA
95630-6447
US

IV. Provider business mailing address

2575 E BIDWELL ST STE 240
FOLSOM CA
95630-6447
US

V. Phone/Fax

Practice location:
  • Phone: 916-485-4249
  • Fax: 734-800-3723
Mailing address:
  • Phone: 919-485-4249
  • Fax: 734-800-3723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1700X
TaxonomyOcularist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: