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Lighthouse for the Blind and Visually Impaired

NPI 1316816416ActiveOrganization· Optometrist· Santa Rosa, CA

Optometrist in Santa Rosa, California, registered in NPPES in November 2025, part of Lighthouse for the Blind and Visually Impaired. The authorized official on file is William Brandon Cox, Interim Ceo / Chief Operating Offic.

Overview

NPI1316816416
StatusActive
Entity typeOrganization (subpart)
Parent organizationLighthouse for the Blind and Visually Impaired
NPI issuedNov 5, 2025
Last updated in NPPESNov 5, 2025
Certified by providerNov 5, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——
Occupational Therapist225X00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Optometrist providers in Santa Rosa

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