Eye Associates of Sebastopol Medical Group INC

NPI #1295729382 in Sebastopol, California

Provider Information

NPI Number: 1295729382
Entity Type: Organization
Organization Name: Eye Associates of Sebastopol Medical Group INC
Primary Specialty: Ophthalmology
Enumeration Date: Sep 6, 2005
Last Updated: Sep 1, 2020

Practice Location

Address: 6880 PALM AVE
City: Sebastopol
State: California
ZIP Code: 95472-4270
Phone: (707) 823-7628

Authorized Official

Name: MS. KIM KHAMTHEE
Title: BILLING MANAGER
Phone: (707) 823-0229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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