Provider Demographics
NPI:1134653512
Name:NORTHERN CALIFORNIA SOCIETY TO PREVENT BLINDNESS
Entity Type:Organization
Organization Name:NORTHERN CALIFORNIA SOCIETY TO PREVENT BLINDNESS
Other - Org Name:PREVENT BLINDNESS NORTHERN CALIFONIRA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHALET
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:415-567-7500
Mailing Address - Street 1:550 KEARNY ST STE 1000
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94108-2524
Mailing Address - Country:US
Mailing Address - Phone:415-567-7500
Mailing Address - Fax:415-567-7600
Practice Address - Street 1:550 KEARNY ST STE 1000
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-2524
Practice Address - Country:US
Practice Address - Phone:415-567-7500
Practice Address - Fax:415-567-7600
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREVENT BLINDNESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency