NPIMap

Fourth Optometric Care of California

A Medicare group practice based in San Bruno, CA: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 6305210345), with 49 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
6305210345The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
25 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
12In 12 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20230315000196 CA Part B Supplier - Clinic/Group Practice 1497499974

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 49

Clinicians who reassign their Medicare benefits to this group (48) or whom Care Compare lists as members (25).

Sources for this page