EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP INC
NPI 1295729382
Ophthalmology in Sebastopol, CA
About Eye Associates Of Sebastopol Medical Group Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP INC (NPI 1295729382) is a healthcare organization registered as an ophthalmology in Sebastopol, California and active in the NPI registry since September 2005. The organization lists Kim Khamthee, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eye Associates Of Sebastopol Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Eye Associates Of Sebastopol Medical Group Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 05D1077728
Eye Associates Of Sebastopol Medical Group, Inc · Sebastopol, CAMedical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Eye Associates Of Sebastopol Medica carries, from the Medicare DMEPOS supplier directory.
Eye Associates Of Sebastopol Medica
DMEPOS supplier · Sebastopol, CAOperated by Eye Associates Of Sebastopol Medical GroupAccepts Medicare assignment
Eye Associates Of Sebastopol Medica agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Product Categories
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eye Associates Of Sebastopol Medical Group Inc's NPI number?
The NPI number for Eye Associates Of Sebastopol Medical Group Inc is 1295729382. It was assigned to this organization in the NPPES registry on September 6, 2005.
Where is Eye Associates Of Sebastopol Medical Group Inc located?
Eye Associates Of Sebastopol Medical Group Inc is located at 6880 Palm Ave, Sebastopol, CA 95472. The listed phone number is (707) 823-7628.
What is Eye Associates Of Sebastopol Medical Group Inc's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Eye Associates Of Sebastopol Medical Group Inc enrolled in Medicare?
Yes. Eye Associates Of Sebastopol Medical Group Inc is registered in the Medicare PECOS enrollment system.
When is Eye Associates Of Sebastopol Medical Group Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Eye Associates Of Sebastopol Medical Group Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 5 Medicare specialties reassign their Medicare billing to Eye Associates Of Sebastopol Medical Group Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (4), Optometry (3) and Dermatology (2). Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Eye Associates Of Sebastopol Medical Group Inc accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Eye Associates Of Sebastopol Medica accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
When was this NPI record last updated?
The NPPES record for Eye Associates Of Sebastopol Medical Group Inc was last updated on September 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eye Associates Of Sebastopol Medical Group Inc · NPI 1295729382
Ophthalmology organization in Sebastopol, California. Organization record, active in the CMS NPPES registry since September 6, 2005.
## Identity
- **NPI:** 1295729382 (Entity type: Organization)
- **Enumerated:** September 6, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Kim Khamthee, BILLING MANAGER
## Practice location
- **Address:** 6880 PALM AVE, Sebastopol, CA 95472-4270
- **Phone:** (707) 823-7628 · **Fax:** (707) 823-1521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (4), Optometry (3), Dermatology (2); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2020
- **Other identifiers:** Medicaid GR0083382 (CA); Other 05D1077728 (CA); Other ZZZ88771Z (CA); and 6 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1295729382) · Data from the CMS NPPES public registry.