Advanced Vision Group, INC.

Public-record details

Address

2655 Cleveland Ave Ste a, Santa Rosa, CA 95403

Phone

(707) 542-8883

Listed under

Optometry practices, Medicare-enrolled groups (CMS)

NPI

1790200624

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Optometrist (152W00000X)

License number on NPI record

14545 (CA)

Authorized official

Erica Wu, OD, CEO

NPI first issued

Aug 11, 2017

Years since NPI first issued

9 years (since 2017)

License state on NPI record

CA

NPI record last updated

Sep 25, 2019

Medicare group enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians as Advanced Vision Group INC

Clinicians in the Medicare group (all specialties, CMS)

2

Optometrists and ophthalmologists in the group at this ZIP (CMS)

2

Group Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Other practice locations (NPPES)

1: Palo Alto, CA

Other eye care listings at this street address

1

NPI 1790200624 is active in the federal NPPES registry (CMS) with Optometrist as its self-reported primary taxonomy; license 14545 (CA) is listed on the record. CMS Doctors & Clinicians lists a Medicare-enrolled group with this name at this ZIP. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Eye Doctor Index does not vet, employ, recommend or guarantee eye care practices; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Eye Doctor Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Optometrists (OD) examine eyes, prescribe glasses and contact lenses and treat some eye conditions; what they may treat varies by state. Confirm each clinician's license with the state optometry board.

View NPI 1790200624 in the official registry ↗

Other eye care practices at this address

Other listings in this directory whose NPI record gives the same street address and ZIP. A shared address usually means a shared practice or building; it does not by itself show who works with whom.

• Eos Eyecare Optometric Group (practice/organization)