OrganizationActive
Earle Baum Center of the Blind Inc.
NPI 1013249986 · Low Vision Rehabilitation Optometrist · Santa Rosa, CA
Provider details
- NPI number
- 1013249986
- Entity type
- Organization
- Primary specialty
- Low Vision Rehabilitation OptometristEye and Vision Services Providers
- Authorized official
- Allan Brenner, President/Ceo
- License
- 8817T (CA)
Practice location
4539 Occidental Rd
Santa Rosa, CA 95401-5635
Phone: (707) 523-3222
Fax: (707) 636-2768
Mailing address
4539 Occidental Rd
Santa Rosa, CA 95401-5635
Registry dates
- Enumerated
- 2010-02-03
- Last updated
- 2015-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.