NORTH BAY EYE ASSOCIATES, INC
NPI 1538344742
Ophthalmology in Petaluma, CA

NPI Status: Active since January 07, 2008

Contact Information

104 LYNCH CREEK WAY
SUITE 15
PETALUMA, CA
ZIP 94954
Phone: (707) 762-3573
Fax: (707) 762-6873

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  • Organization
  • Ophthalmology
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 05D1037432
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-23-2027

About NORTH BAY EYE ASSOCIATES, INC

This page provides the complete NPI Profile along with additional information for North Bay Eye Associates, Inc, a provider established in Petaluma, California operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1538344742 assigned on January 2008. The practitioner's primary taxonomy code is 207W00000X with license number ZZZ42820Z (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, Inc. The authorized official of this NPI record is Kimberlee K Breslin (Accounts Receivable Manager)

NPI
1538344742
Provider Legal Name
NORTH BAY EYE ASSOCIATES, A MEDICAL CORPORATION
Other Organization Name
NORTH BAY EYE ASSOCIATES, INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
104 LYNCH CREEK WAY SUITE 15 PETALUMA, CA 94954
Location Phone
(707) 762-3573
Location Fax
(707) 762-6873
Mailing Address
PO BOX 11688 SANTA ROSA, CA 95406
Mailing Phone
(707) 588-7946
Mailing Fax
(707) 588-7940
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-07-2008
Last Update Date
07-21-2022
Code Navigator

Ophthalmologists like North Bay Eye Associates, Inc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

North Bay Eye Associates, Inc is a medicare supplier with PTAN 20576501 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

Location Map

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

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
License No.
ZZZ42820Z
License State
CA
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

(CA)

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

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20576501
Accepts Medicare Assignment
YES
Specialities List
Optometrist, Optician.
Provider Type List
PHYSICIAN – GENERAL SURGERY.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

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
05D1037432
Facility Type
Physician Office
Certificate Effective Date
February 24, 2025
Certificate Expiration Date
February 23, 2027
Laboratory Director
JASON BACHARACH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to North Bay Eye Associates, Inc 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 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 1538344742, we treat the final digit (2) 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 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).

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
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
4
Doubled → 8
Check
2
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 3 → 6 3 → 6 4 → 8 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 6 + 4 + 8 + 7 + 8 + 24 = 78

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

The next multiple of ten after 78 is 80. The difference is the calculated check digit.

80 - 78 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1538344742.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Family Medicine
104 LYNCH CREEK WAY, STE 10
PETALUMA, CA 94954
Nurse Practitioner (Family)
104 LYNCH CREEK WAY, SUITE 10
PETALUMA, CA 94954
Family Medicine
104 LYNCH CREEK WAY, STE 10
PETALUMA, CA 94954
Internal Medicine
104 LYNCH CREEK WAY, STE 10
PETALUMA, CA 94954
Nurse Practitioner (Family)
104 LYNCH CREEK WAY, SUITE 10
PETALUMA, CA 94954
Ophthalmology (Glaucoma Specialist)
104 LYNCH CREEK WAY, SUITE 15
PETALUMA, CA 94954

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538344742, enumerated as an "organization" on January 07, 2008.

The provider is located at 104 LYNCH CREEK WAY SUITE 15 PETALUMA, CA 94954 and the phone number is (707) 762-3573.

Ophthalmology with taxonomy code 207W00000X.