| Earle Baum Center Of The Blind Inc. | |
|
4539 Occidental Rd, Santa Rosa, CA 95401-5635 | |
| (707) 523-3222 | |
| (707) 636-2768 |
| Full Name | Earle Baum Center Of The Blind Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Low Vision Rehabilitation |
| Location | 4539 Occidental Rd, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013249986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WL0500X | Optometrist - Low Vision Rehabilitation | 8817T (California) | Primary |
| Provider Name | Janet M Caddell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700876760 PECOS PAC ID: 6002832961 Enrollment ID: I20051019001129 |
| Provider Name | Chi Quang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386871705 PECOS PAC ID: 7911196613 Enrollment ID: I20110112000068 |
| Provider Name | Truyet Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265849475 PECOS PAC ID: 7012239171 Enrollment ID: I20160408001945 |
| Provider Name | Ava Wallen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851033609 PECOS PAC ID: 8820446792 Enrollment ID: I20231204000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Earle Baum Center Of The Blind Inc. 4539 Occidental Rd, Santa Rosa, CA 95401-5635 Ph: (707) 523-3222 | Earle Baum Center Of The Blind Inc. 4539 Occidental Rd, Santa Rosa, CA 95401-5635 Ph: (707) 523-3222 |
Sonoma Eyeworks Optometrist Medicare: Not Enrolled in Medicare Practice Location: 534 Larkfield Ctr, Santa Rosa, CA 95403 Phone: 707-578-4200 Fax: 707-578-5622 | |
Empire Eye Doctors Medical Group Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 720 4th St, Santa Rosa, CA 95404 Phone: 707-575-3800 Fax: 707-528-4967 | |
Eos Eyecare Optometric Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2655 Cleveland Ave Ste A, Santa Rosa, CA 95403 Phone: 707-542-8883 Fax: 707-546-7787 | |
Sterling Visioncare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2320 Midway Dr, Santa Rosa, CA 95405 Phone: 707-526-2020 Fax: 707-526-2032 | |
Lucille Hester Brongersma, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3925 Old Redwood Hwy, Santa Rosa, CA 95403 Phone: 707-566-5297 | |
Dr. Shipley & Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1430 Guerneville Rd, Santa Rosa, CA 95403 Phone: 707-525-9920 Fax: 707-525-0844 |