NORTH BAY EYE ASSOCIATES ASC
NPI 1073620415
Clinic/Center - Ambulatory Surgical in Santa Rosa, CA

NPI Status: Active since August 23, 2006

Contact Information

380 TESCONI CT
SANTA ROSA, CA
ZIP 95401
Phone: (707) 544-3375
Fax: (707) 544-0808

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D0999918
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 05-27-2028

About NORTH BAY EYE ASSOCIATES ASC

This page provides the complete NPI Profile along with additional information for North Bay Eye Associates Asc, a provider established in Santa Rosa, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1073620415 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 110000297 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as North Bay Eye Associates Asc. The authorized official of this NPI record is Kimberlee K Breslin (Accounts Receivable Manager)

NPI
1073620415
Provider Legal Name
NORTH BAY EYE ASSOCIATES A MEDICAL CORPORATION
Other Organization Name
NORTH BAY EYE ASSOCIATES ASC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
380 TESCONI CT SANTA ROSA, CA 95401
Location Phone
(707) 544-3375
Location Fax
(707) 544-0808
Mailing Address
PO BOX 11688 SANTA ROSA, CA 95406
Mailing Phone
(707) 588-7939
Mailing Fax
(707) 544-0808
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-23-2006
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
110000297
License State
CA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLEE K BRESLIN

Authorized Official Title
ACCOUNTS RECEIVABLE MANAGER
Authorized Official Phone
(707) 588-7946

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110000297OTHER (01)CALICENSE

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 43 times for 35 patients

Destruction of lens tissue using laser

Destruction of lens tissue using a laser is a medical procedure aimed at treating eye conditions like cataracts. A laser is employed to break down the affected lens tissue, which is then removed. This allows the insertion of an artificial lens to improve vision.

This service was performed 19 times for 15 patients

Dilation of fluid outflow drainage within eye

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

This service was performed 20 times for 14 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

This service was performed 26 times for 18 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 513 times for 345 patients

Removal of excessive skin and fat of upper eyelid

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

This service was performed 21 times for 11 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 257 times for 212 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0999918
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
May 28, 2026
Certificate Expiration Date
May 27, 2028
Laboratory Director
WILLIAM BARTLETT MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Bay Eye Associates Asc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1073620415, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
0
Doubled → 0
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 4 + 3 + 1 + 2 + 2 + 0 + 4 + 2 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1073620415.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Ophthalmology
380 TESCONI CT
SANTA ROSA, CA 95401
Ophthalmology
380 TESCONI CT
SANTA ROSA, CA 95401
Ophthalmology
380 TESCONI CT
SANTA ROSA, CA 95401
Optometrist
380 TESCONI CT
SANTA ROSA, CA 95401
Ophthalmology
380 TESCONI CT
SANTA ROSA, CA 95401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073620415, enumerated as an "organization" on August 23, 2006.

The provider is located at 380 TESCONI CT SANTA ROSA, CA 95401 and the phone number is (707) 544-3375.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.