Eye Associates of Sebastopol Medical Group
NPI #1619012119 in Sebastopol, California
Provider Information
- NPI Number
- 1619012119
- Entity Type
- Organization
- Organization Name
- Eye Associates of Sebastopol Medical Group
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Nov 28, 2007
Practice Location
- Address
- 6880 PALM AVE
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472-4270
- Phone
- (707) 823-7628
Authorized Official
- Name
- MS. CATHY A UDELL
- Title
- CREDENTIALLING
- Phone
- (707) 823-7628
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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