PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION , NPI 1548262751
Ophthalmology in SAN LUIS OBISPO, CA
Last Updated on : Mar 17,2010
About PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION (NPI 1548262751)
PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION is an Ophthalmology in SAN LUIS OBISPO, United States .
1548262751 is NPI number of PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION.
PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION's primary taxonomy code based on NPI Lookup is 207W00000X with license number 2685147. This taxonomy code refers to Ophthalmology.
PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION current practice location address is 628 CALIFORNIA BLVD, SAN LUIS OBISPO, CA. PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION can be reached out via phone at 805-545-8100 and via fax at 805-545-8902 .
You can also correspond with PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION through mail at mailing address 3165 BROAD ST, SAN LUIS OBISPO, CA, United States. Mailing address contact number is 805-545-7881.
The enumeration date of PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 13 years ago. The authorized official of PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION is Ahmad Amir (President). Ahmad Amir can be reached at 8055458100.1548262751 NPI Information
Basic NPI information of PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION (NPI 1548262751) is provided below.
| Name | PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION |
|---|---|
| National Provider Id (NPI) | 1548262751 |
| Entity Type | Organization |
| Practice Address | 628 CALIFORNIA BLVD,
STE D
SAN LUIS OBISPO, CA, United States |
| Practice Telephone | 805-545-8100 |
| Practice Fax Number | 805-545-8902 |
| Mailing Address | 3165 BROAD ST ,
SUITE 112
SAN LUIS OBISPO, CA, United States |
| Mailing Telephone | 805-545-7881 |
| Mailing Fax Number | 805-548-8785 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 17-Mar-2010 |
PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION (NPI 1548262751) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 2685147 | CA |
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 includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 602017000 | Other (non-Medicare) (01) | USDL PIN | |
| 6235720001 | MEDICARE NSC (07) | CA | |
| ========= 93401 A001 | Other (non-Medicare) (01) | CA | Champus TriCare Grp PIN |
| DC7249 | Other (non-Medicare) (01) | RR Medicare Grp PIN | |
| GR0099340 | MEDICAID (05) | CA | |
| W18344 | MEDICARE PIN (08) | CA | |
| ZZZ09808Z | Other (non-Medicare) (01) | CA | Blue Shield of CA Grp PIN |
PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION (NPI 1548262751) Office Location
Office location of PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1497494009 | CHRISTINA MICHELLE HUTH | Licensed Psychiatric Technician | 2180 B JOHNSON AVENUE,
SAN LUIS OBISPO, AR, United States |
01-Jun-2022 |
| 1457418501 | GARY DAVID WILLIAMS | Licensed Psychiatric Technician | 4650 PARKHILL RD,
SANTA MARGARITA, CA, United States |
01-Jan-2007 |
| 1114084803 | SARI HERMINE DWORKIN | Marriage & Family Therapist | 791 PRICE ST # 166,
PISMO BEACH, CA, United States |
02-Jan-2007 |
| 1760549422 | STEPHANIE GALE BUCHLER | Social Worker, Clinical | 3428 SEQUOIA DR,
SAN LUIS OBISPO, CA, United States |
02-Jan-2007 |
| 1659438299 | SILVIA MARIA ORTIZ | Psychologist, Counseling | 694 SANTA ROSA ST,
SAN LUIS OBISPO, CA, United States |
02-Jan-2007 |
| 1477098309 | CORY GRIFFIN | Licensed Psychiatric Technician | 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States |
02-Jan-2017 |
| 1982149829 | KEVIN CIRONE | Licensed Psychiatric Technician | 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States |
02-Jan-2017 |
| 1376089763 | MONCELA VELASCO | Registered Nurse, Psych/Mental Health | 2485 DEER SPRINGS DRIVE,
PASO ROBLES, CA, United States |
10-Jan-2017 |
| 1356813380 | RITA MARIE HOLLAND | Case Manager/Care Coordinator | 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States |
02-Jan-2019 |
| 1174501845 | MICHAEL A FAMULARO | Internal Medicine, Cardiovascular Disease | 1941 JOHNSON AVE,
# 101 SAN LUIS OBISPO, CA, United States |
04-Jan-2006 |
| 1376521005 | ROBERT J DORIA | Internal Medicine, Cardiovascular Disease | 1941 JOHNSON AVE,
# 101 SAN LUIS OBISPO, CA, United States |
03-Jan-2006 |
| 1083771380 | COLLEEN ANN SEBASTIAN | Marriage & Family Therapist | PO BOX 597,
PISMO BEACH, CA, United States |
03-Jan-2007 |
| 1801943006 | SHARON LILLIAN FRIEDMANN | Marriage & Family Therapist | 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States |
03-Jan-2007 |
| 1356762637 | RAMONA GOODMAN | Licensed Psychiatric Technician | 1116 FARROLL AVE,
ARROYO GRANDE, CA, United States |
03-Jan-2014 |
| 1053777342 | KELLIE ACOSTA | Physician Assistant, Medical | 275 N CHORRO ST,
APT E SAN LUIS OBISPO, CA, United States |
03-Jan-2016 |
| 1437694221 | LARRY JAMES SHERFIELD | Licensed Psychiatric Technician | 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States |
03-Jan-2017 |
| 1891230694 | BRIAN TWADDELL | Licensed Psychiatric Technician | 2178 JOHNSON AVE,
SAN LUIS OBISPO, CA, United States |
03-Jan-2017 |
| 1497228399 | BARBARA JEAN MORROW | Dental Hygienist | 2191 JOHNSON AVENUE,
SAN LUIS OBISPO, CA, United States |
03-Jan-2019 |
| 1639157282 | MARK J SADA | Internal Medicine, Cardiovascular Disease | 1941 JOHNSON AVE,
STE 101 SAN LUIS OBISPO, CA, United States |
04-Jan-2006 |
| 1912054040 | FRANK S RICCERI | Counselor, Mental Health | PO BOX 15408,
SAN LUIS OBISPO, CA, United States |
04-Jan-2007 |
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FAQs
Whose NPI Number is 1548262751?1548262751 is the NPI number of PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION.
Where is PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION located?PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION is located at 628 CALIFORNIA BLVD, SAN LUIS OBISPO, CA.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|