Organization Active NPI

Pacifica Laser Eye Center

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1144881186
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PACIFICA LASER EYE CENTER
Practice address
18800 Main St Ste 101
Huntington Beach, CA 92648-1717
Phone
(714) 847-5900
Fax
(714) 842-4590
NPI assigned
Jun 20, 2019
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard D. Klotz, M.D.NPI 1750457719
Title
Owner
Phone
(714) 847-5900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

18800 Main St Ste 101
Huntington Beach, CA 92648-1717

Mailing address

18800 Main St Ste 101
Huntington Beach, CA 92648-1717
Phone (714) 847-5900

National Provider Directory

National Provider Directory

Locations

18800 Main St
Ste 101
Huntington Beach, CA 92648
Phone (714) 847-5900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1144881186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481717",
            "telephone_number": "714-847-5900",
            "fax_number": "714-842-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST STE 101",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481717",
            "telephone_number": "714-847-5900",
            "fax_number": "714-842-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICA LASER EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "KLOTZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-847-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.