Active NPI
Clearview Eye & Laser Medical Center a Professional Corporation
- Ophthalmology Physician
- San Diego, CA
National Provider Identifier
1164529160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G57688
- Legal business name
- CLEARVIEW EYE & LASER MEDICAL CENTER A PROFESSIONAL CORPORATION
- Practice address
- 6255 Lusk Blvd
San Diego, CA 92121-3763 - Phone
- (858) 452-3937
- Fax
- (858) 452-3933
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandy T Feldman, MD
- Title
- President
- Phone
- (858) 452-3937
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G57688 | CA | Primary |
Addresses
Primary practice location
6255 Lusk Blvd
San Diego, CA 92121-3763
Mailing address
PO Box 2530
Del Mar, CA 92014-1830
Phone (858) 452-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE | Other | CA | G57688 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9833 Pacific Heights Blvd
Ste J
San Diego, CA 92121
Phone (858) 452-3937
6255 Lusk Blvd
San Diego, CA 92121
Phone (858) 452-3937
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- San Diego, CA
- NPI 1821284092
-
- Student in an Organized Health Care Education/Training Program
- Sylmar, CA
- NPI 1689136947
-
- Optometrist
- Chula Vista, CA
- NPI 1124751417
-
- Physician Assistant
- San Diego, CA
- NPI 1093352619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300665600000",
"number": "1164529160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2530",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920141830",
"telephone_number": "858-452-3937",
"fax_number": "858-452-3933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6255 LUSK BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213763",
"telephone_number": "858-452-3937",
"fax_number": "858-452-3933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARVIEW EYE & LASER MEDICAL CENTER A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2011-03-21",
"status": "A",
"authorized_official_last_name": "FELDMAN",
"authorized_official_first_name": "SANDY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-452-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "G57688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "G57688",
"identifier": "LICENSE",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.