Provider Demographics
NPI:1225707334
Name:CALIFORNIA LASIK & EYE, INC.
Entity Type:Organization
Organization Name:CALIFORNIA LASIK & EYE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER / MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:POWERS
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:916-957-1515
Mailing Address - Street 1:3278 SOUTHERLAND RD
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-6212
Mailing Address - Country:US
Mailing Address - Phone:916-957-1515
Mailing Address - Fax:916-957-1567
Practice Address - Street 1:1111 EXPOSITION BLVD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95815-4314
Practice Address - Country:US
Practice Address - Phone:916-957-1515
Practice Address - Fax:916-957-1567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-10
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases SpecialistGroup - Single Specialty