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EAST BAY EYE CENTERS MEDICAL CORPORATION
NPI 1780633644
Specialist in San Ramon, CA

Active since May 09, 2006CLIA 05D2216124 · Waiver
5801 NORRIS CANYON ROAD, SUITE 200, SAN RAMON, CA 94583(925) 830-8823(925) 866-6610 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1780633644
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAST BAY EYE CENTERS MEDICAL CORPORATION
Location Address5801 NORRIS CANYON ROAD, SUITE 200San Ramon, CA 94583-5406
Mailing Address5801 Norris Canyon Rd Ste 200San Ramon, CA 94583-5440 · (925) 830-8823 · Fax (925) 866-6610
Phone(925) 830-8823
Fax(925) 866-6610
Organization SubpartNo
Authorized OfficialTammy CarsonPractice Administrator · (925) 830-2112
Enumeration DateMay 9, 2006
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1780633644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5801 NORRIS CANYON ROAD, San Ramon, CA 94583
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Secondary Practice Location 1

Location 18440 Brentwood Blvd Ste DBrentwood, CA 94513-1300 · Phone (925) 701-8824 · Fax (925) 866-6610

Other Identifiers 2

OtherZZZ05706ZCA · Blue Shield
OtherZZZ057067CA · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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, CA
Active · expires Mar 8, 2027
CLIA Number05D2216124
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorAimee Edell
Laboratory Phone(925) 830-8823
Laboratory LocationEast Bay Eye Center5801 Norris Canyon Rd Ste 200, San Ramon, CA 94583
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 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.

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.