EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP
NPI 1770734659
Eyewear Supplier in Clearlake, CA
NPI Status: Active since October 09, 2008
Contact Information
14709 LAKESHORE DRIVE
CLEARLAKE, CA
ZIP 95422
Phone: (707) 994-8644
Fax: (707) 994-5015
- Organization
- Eyewear Supplier
- CLIA Number: 05D1092687
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2025
About EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Eye Associates Of Sebastopol Medical Group, a provider established in Clearlake, California operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1770734659 assigned on October 2008. The practitioner's primary taxonomy code is 332H00000X with license number 97-518945 00004 JH (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Dr. Eric J Kahle Md (Owner)
- NPI
- 1770734659
- Provider Name
- EYE ASSOCIATES OF SEBASTOPOL MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 14709 LAKESHORE DRIVE CLEARLAKE, CA 95422
- Location Phone
- (707) 994-8644
- Location Fax
- (707) 994-5015
- Mailing Address
- PO BOX 5539 CLEARLAKE, CA 95422
- Mailing Phone
- (707) 994-8644
- Mailing Fax
- (707) 994-5015
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-09-2008
- Last Update Date
- 10-09-2008
- Code Navigator
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
Eyewear Supplier
- Taxonomy Code
- 332H00000X
- Type
- Suppliers
- License No.
- 97-518945 00004 JH
- License State
- CA
- Taxonomy Description
- An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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
- 05D1092687
- Facility Type
- Physician Office
- Certificate Effective Date
- October 14, 2023
- Certificate Expiration Date
- October 31, 2025
- Laboratory Director
- DR. ANYA E. BANDT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Eye Associates Of Sebastopol Medical Group after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1770734659, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
CLEARLAKE, CA 95422
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770734659, enumerated as an "organization" on October 09, 2008.
The provider is located at 14709 LAKESHORE DRIVE CLEARLAKE, CA 95422 and the phone number is (707) 994-8644.
Eyewear Supplier with taxonomy code 332H00000X.
