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NPI Code Detail

MEDICARE: EYE CARE INSTITUTE, A MEDICAL CORPORATION

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
1152W00000XOptometrist
2207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295740991
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 : 707-528-4967
Provider Business Practice Location 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 : 707-528-4967
Authorized Official
Title or Position : CORPORATION PRESIDENT
Name : BRUCE P. ABRAMSON
Credential : M.D.
Telephone Number : 707-763-6400
Provider Enumeration Date : 07/30/2006
Last Update Date : 07/10/2025

Similar Medicare Providers

1841278124 — BRUCE P ABRAMSON O.D.
Practice Location Address:
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA
95403-2122
Practice Phone: 707-545-3800
Practice Fax: 707-546-4112
1710965058 — DANIEL GEORGE RICH M.D.
Practice Location Address:
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA
95403-2122
Practice Phone: 707-546-9800
Practice Fax: 707-546-4112
1871855411 — LILLIAN YANG MD
Practice Location Address:
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA
95403-2122
Practice Phone: 707-546-9800
Practice Fax:
1598007676 — AVNI A SHAH MD
Practice Location Address:
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA
95403-2122
Practice Phone: 708-623-8200
Practice Fax:
1366978363 — EYE CARE INSTITUTE, A MEDICAL CORPORATION
Practice Location Address:
3035 CLEVELAND AVE STE 100
SANTA ROSA, CA
95403-2122
Practice Phone: 707-545-3800
Practice Fax: 707-546-4967
1457460982 — THRIFTY PAYLESS INC
Practice Location Address:
901 SOQUEL AVENUE
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95062-2122
Practice Phone: 831-426-4303
Practice Fax:

Directions to “EYE CARE INSTITUTE, A MEDICAL CORPORATION ” Practice Location

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