Kalane J Wong (NPI# 1114905494, PAC ID# 5294808549) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1114905494 |
| PAC ID by PECOS | 5294808549 |
| Professional Enrollment ID | I20080718000452 |
| Full Name | Kalane J Wong |
| Organization Legal Name | EYE CARE INSTITUTE A MEDICAL CORPORATION |
| Address |
1383 N Mcdowell Blvd Suite 100 Petaluma CA 94954-1190 |
| Phone Number | 7075469800 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7315010766 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 | 7075469800 | EYE CARE INSTITUTE A MEDICAL CORPORATION |
| 1017 2nd St, Santa Rosa, CA 95404-6608 | 7075469800 | EYE CARE INSTITUTE A MEDICAL CORPORATION |
| Organization Legal Name | EYE CARE INSTITUTE A MEDICAL CORPORATION |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Avni A Shah | Ophthalmology | Eye Care Institute A Medical Corporation | 1017 2nd St, Santa Rosa, CA 95404-6608 |
| Arwa Alsamarae | Ophthalmology | Eye Care Institute A Medical Corporation | 720 4th St, Santa Rosa, CA 95404-4421 |
| Dan Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Daniel G Rich | Ophthalmology | Eye Care Institute A Medical Corporation | 720 4th St, Santa Rosa, CA 95404-4421 |
| Nina Ni | Ophthalmology | Eye Care Institute A Medical Corporation | 720 4th St, Santa Rosa, CA 95404-4421 |
| Robert L Anderson | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Bruce P Abramson | Optometry | Eye Care Institute A Medical Corporation | 720 4th St, Santa Rosa, CA 95404-4421 |
| Lillian Yang | Ophthalmology | Eye Care Institute A Medical Corporation | 720 4th St, Santa Rosa, CA 95404-4421 |
| Gary P Barth | Ophthalmology | Eye Care Institute A Medical Corporation | 720 4th St, Santa Rosa, CA 95404-4421 |
| David Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1017 2nd St, Santa Rosa, CA 95404-6608 |
| Street Address |
1383 N MCDOWELL BLVD SUITE 100 |
| City | PETALUMA |
| State | CA |
| Zip | 94954-1190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dan Lightfoot | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Tam Tiet | Family Medicine | Sutter Bay Medical Foundation | 1383 N Mcdowell Blvd, Suite 150, Petaluma, CA 94954-7118 |
| Robert L Anderson | Ophthalmology | Eye Care Institute A Medical Corporation | 1383 N Mcdowell Blvd, Suite 100, Petaluma, CA 94954-1190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald L Harris | Optometry | 1225 N Mcdowell Blvd, Petaluma, CA 94954-1112 | |
| Peter R Pretkel | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Julie L Restad | Chiropractic | 1301 Redwood Way, Suite 150, Petaluma, CA 94954-1136 | |
| Robert D Mosby | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Grace A Wakim | Psychologist, Clinical | Psych Strategies Inc A Psychological Corp | 1301 Redwood Way, Suite 110, Petaluma, CA 94954-1136 |
| Robert A Harf | Orthopedic Surgery | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 | |
| Stephen M Gugenheim | Otolaryngology | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Michael Alan Johnson | Podiatry | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Petaluma, CA 94954-2310 |
| Nikola Lozanov | Family Medicine | 108 Lynch Creek Way, Suite 4, Petaluma, CA 94954-2310 | |
| Naomi R.e. Detablan | Podiatry | St Joseph Heritage Healthcare | 108 Lynch Creek Way, Suite 7, Petaluma, CA 94954-2310 |
| Find all physicians in zip 94954 | |||
| City | PETALUMA |
| Zip Code | 94954 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PETALUMA + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.