Dan R Lightfoot in Santa Rosa - Ophthalmology

Dan R Lightfoot - NPI 1023008075

Dan R Lightfoot is a Ophthalmology in Santa Rosa, California. Dan R Lightfoot practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Dan R Lightfoot is 1023008075. The last update date is 2008-07-01.

Dan R Lightfoot's current location address is 720 4th St, Santa Rosa, California. You can contact this provider via phone number 7075753800 and fax number 7075284967. The mailing address for Dan R Lightfoot is 720 4th St, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Dan R Lightfoot
Address 720 4th St, Santa Rosa, California
Phone Number 7075753800
Fax Number 7075284967
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1023008075
Provider Enumeration Date 2005-10-21
Last Updated Date 2008-07-01

Provider Mailing Address Detail

Address 720 4th St
City Santa Rosa
State California (CA)
Post Code 954044421
Phone Number 7075753800
Fax Number 7075284967

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No G32243
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B002 CA CHAMPUS
00G322430 CA --
180009844 CA RAILROAD MEDICARE

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FAQs about Dan R Lightfoot

What is the unique 10-digit identification code assigned to Dan R Lightfoot by the Centers for Medicare & Medicaid Services?

The Dan R Lightfoot has been issued the NPI (National Provider Identifier) 1023008075, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Dan R Lightfoot's facilities are situated?

The facilities of Dan R Lightfoot are physically located at the following address: 720 4Th St, Santa Rosa, CA, 954044421.

What is Dan R Lightfoot's area of expertise and its corresponding taxonomy classification?

The Dan R Lightfoot's field of specialization is Ophthalmology, and it falls under the taxonomy code 207W00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Dan R Lightfoot receive its 1023008075 assignment from the Centers for Medicare & Medicaid Services?

The Dan R Lightfoot was assigned its 1023008075 on 2005-10-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Dan R Lightfoot last refreshed?

The information related to the Dan R Lightfoot, including its address, specialty, and other relevant details, was last updated on 2008-07-01.

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