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Eye Associates of Sebastopol Medical Group Inc

Ophthalmology Physician in Sebastopol, CA · enumerated 2005 · authorized official Kim Khamthee, Billing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295729382

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Registry record

Entity type Organization (Type 2)
Legal business name Eye Associates of Sebastopol Medical Group Inc
Practice address 6880 Palm Ave, Sebastopol, CA, 95472
Fax (707) 823-1521
Enumeration date Sep 6, 2005
Last updated in NPPES Sep 1, 2020

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kim Khamthee
Title Billing Manager

Other identifiers

Identifier Type State Issuer
ZZZ16441Z Other CA BLUE SHIELD
GR0083382 Medicaid CA -
05D1077728 Other CA CLIA
GR0083381 Medicaid CA -
GR0083383 Medicaid CA -
CI4202 Other CA MEDICARE RET RAILROAD
1247100001 Other CA DMERC
ZZZ88771Z Other CA BLUE SHIELD
GR0083380 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Eye Associates of Sebastopol Medical Group Inc?
Eye Associates of Sebastopol Medical Group Inc is registered in NPPES as a Ophthalmology Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-09-01.