Dr. Dan R Lightfoot
Ophthalmologist
720 4th St
Santa Rosa
, California 95404-4421
Dr. Dan R Lightfoot
Ophthalmologist
720 4th St
Santa Rosa
, California 95404-4421
(707) 528-4967
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About
Features
Specialties
- Ophthalmologist
Languages spoken
- English
Location
First Address
- Dr. Dan R Lightfoot
- 720 4th St
- Santa Rosa, CA
- Zip : 95404-4421
- Fax : (707) 528-4967
- Phone : (707) 575-3800
Second Address
- Dr. Dan R Lightfoot
- 720 4th St
- Santa Rosa, CA
- Zip : 95404-4421
- Fax : (707) 528-4967
- Phone : (707) 575-3800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmologist | G32243 | CA |
National Provider Identifier
| NPI | 1023008075 |
|---|---|
| Provider Name | Dr. Dan R Lightfoot |
| First Address | Santa Rosa, CA 95404-4421 |
| Second Address | Santa Rosa, CA 95404-4421 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/10/2005 |
| Last Update Date | 01/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G322430 | (05) | CA |
| 180009844 | RAILROAD MEDICARE (01) | CA |
| A45070 | (02) | CA |
| B002 | CHAMPUS (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.