Eye Associates of Sebastopol Medical Group

NPI #1770734659 in Clearlake, California

Provider Information

NPI Number
1770734659
Entity Type
Organization
Organization Name
Eye Associates of Sebastopol Medical Group
Primary Specialty
Eyewear Supplier
Enumeration Date
Oct 9, 2008
Last Updated
Oct 9, 2008

Practice Location

Address
14709 LAKESHORE DRIVE
ZIP Code
95422-5539
Phone
(707) 994-8644

Authorized Official

Name
DR. ERIC J KAHLE, MD
Title
OWNER
Phone
(707) 823-7628

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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