Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Hollis Loren Stavn, OD

Individual provider Optometrist · NPI 1194728527

Dr. Hollis Loren Stavn, OD is an Optometry in Santa Rosa, California. Qualified in 1979, 47 years ago. Practices with North Bay Eye Associates, a Medical Corporation, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
47
Licensed in
CA
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2305 Mendocino Ave Ste B
Santa Rosa, CA 95403-3157
Phone: (707) 527-9137
Fax: (707) 545-9278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6812T (CA)

Record details

NPI number1194728527
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 31, 2005
Last updated in NPPESDecember 20, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Group practice North Bay Eye Associates, A Medical Corporation — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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