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
- 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) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | (CA) |
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
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.