Provider Demographics
NPI:1396939682
Name:EYE ASSOCIATES OF NORTHERN CALIFORNIA MEDICAL GROUP INC.
Entity type:Organization
Organization Name:EYE ASSOCIATES OF NORTHERN CALIFORNIA MEDICAL GROUP INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCHLUTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-996-1900
Mailing Address - Street 1:696 3RD ST W
Mailing Address - Street 2:
Mailing Address - City:SONOMA
Mailing Address - State:CA
Mailing Address - Zip Code:95476-6805
Mailing Address - Country:US
Mailing Address - Phone:707-996-1900
Mailing Address - Fax:707-996-4396
Practice Address - Street 1:696 3RD ST W
Practice Address - Street 2:
Practice Address - City:SONOMA
Practice Address - State:CA
Practice Address - Zip Code:95476
Practice Address - Country:US
Practice Address - Phone:707-996-1900
Practice Address - Fax:707-996-4396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty