EAST BAY EYE CENTERS MEDICAL CORPORATION
NPI 1780633644
Specialist in San Ramon, CA
About East Bay Eye Centers Medical Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST BAY EYE CENTERS MEDICAL CORPORATION (NPI 1780633644) is a healthcare organization registered as a specialist in San Ramon, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 8, 2027, maintains a secondary practice location in Brentwood, and lists Tammy Carson, Practice Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
East Bay Eye Centers Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to East Bay Eye Centers Medical Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
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 Waiver 05D2216124
East Bay Eye Center · San Ramon, CAFrequently 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 East Bay Eye Centers Medical Corporation's NPI number?
The NPI number for East Bay Eye Centers Medical Corporation is 1780633644. It was assigned to this organization in the NPPES registry on May 9, 2006.
Where is East Bay Eye Centers Medical Corporation located?
East Bay Eye Centers Medical Corporation is located at 5801 Norris Canyon Road Suite 200, San Ramon, CA 94583. The listed phone number is (925) 830-8823.
What is East Bay Eye Centers Medical Corporation's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is East Bay Eye Centers Medical Corporation enrolled in Medicare?
Yes. East Bay Eye Centers Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Bay Eye Centers Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to East Bay Eye Centers Medical Corporation. 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 (7) and Optometry (3). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does East Bay Eye Centers Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D2216124) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for East Bay Eye Centers Medical Corporation was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# East Bay Eye Centers Medical Corporation · NPI 1780633644
Specialist organization in San Ramon, California. Organization record, active in the CMS NPPES registry since May 9, 2006.
## Identity
- **NPI:** 1780633644 (Entity type: Organization)
- **Enumerated:** May 9, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Tammy Carson, PRACTICE ADMINISTRATOR
## Practice location
- **Address:** 5801 NORRIS CANYON ROAD, SUITE 200, San Ramon, CA 94583-5406
- **Phone:** (925) 830-8823 · **Fax:** (925) 866-6610
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (7), Optometry (3); 2 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2024
- **Other identifiers:** Other ZZZ05706Z (CA); Other ZZZ057067 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780633644) · Data from the CMS NPPES public registry.