MEDICARE: EYE CARE INSTITUTE, A MEDICAL CORPORATION

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
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1083141857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE CARE INSTITUTE, A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	3035 CLEVELAND AVE STE 100
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-2122
Country	:	US
Telephone Number	:	707-545-3800
Fax Number	:

Provider Business Practice Location Address
First Line	:	3035 CLEVELAND AVE STE 100
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-3037
Country	:	US
Telephone Number	:	707-546-9800
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRUCE P ABRAMSON
Credential	:	OD
Telephone Number	:	707-525-6485

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	07/10/2025

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