Provider Demographics
NPI:1922838366
Name:MONICA RODRIGUEZ-BAYES OD OPTOMETRY CORP
Entity type:Organization
Organization Name:MONICA RODRIGUEZ-BAYES OD OPTOMETRY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ BAYES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:206-427-5228
Mailing Address - Street 1:116 JOHNSTON CT
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-4888
Mailing Address - Country:US
Mailing Address - Phone:206-427-5228
Mailing Address - Fax:
Practice Address - Street 1:116 JOHNSTON CT
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:CA
Practice Address - Zip Code:95630-4888
Practice Address - Country:US
Practice Address - Phone:206-427-5228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty