Lighthouse for the Blind and Visually Impaired
Lighthouse for the Blind and Visually Impaired is an Optometrist in Santa Rosa, California. Registered with an NPI since 2025.
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
4539 Occidental RdSanta Rosa, CA 95401-5635
Phone: (707) 523-3222
Fax: (415) 694-7330
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Specialties & licences
| Optometrist (primary) | Taxonomy 152W00000X |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X |
Record details
| NPI number | 1316816416 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Lighthouse for the Blind and Visually Impaired |
| Authorized official | William Cox — Interim Ceo / Chief Operating Offic · (415) 694-7347 |
| Other names | Lighthouse For The Blind - Earle Baum Campus |
| NPI enumerated | November 5, 2025 |
| Last updated in NPPES | November 5, 2025 |
| Certification date | November 5, 2025 |
| Mailing address | 4539 Occidental Rd, Santa Rosa, CA 95401-5635 |
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