Eye Associates of Sebastopol Medical Group
Eye Associates of Sebastopol Medical Group is an Eyewear Supplier in Clearlake, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
Practice location Address checks out
14709 Lakeshore DrClearlake, CA 95422-5539
Phone: (707) 994-8644
Fax: (707) 994-5015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Eyewear Supplier (primary) | Taxonomy 332H00000X · Licence 97-518945 00004 JH (CA) |
|---|
Record details
| NPI number | 1770734659 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Eric Kahle — Owner · (707) 823-7628 |
| NPI enumerated | October 9, 2008 |
| Last updated in NPPES | October 9, 2008 |
| Mailing address | Po Box 5539, Clearlake, CA 95422-5539 |