Organization Active NPI

Pacific Eye Associates, a Medical Corporation

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1265464739
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PACIFIC EYE ASSOCIATES, A MEDICAL CORPORATION
Practice address
2100 Webster St
Suite 214
San Francisco, CA 94115-2373
Phone
(415) 923-3007
Fax
(415) 923-6586
NPI assigned
Jul 7, 2006
Last updated
Mar 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Authorized official

Name
Arthur Allen, MDNPI 1255332334
Title
President
Phone
(415) 923-3007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2100 Webster St
Suite 214
San Francisco, CA 94115-2373

Mailing address

2100 Webster St
Suite 214
San Francisco, CA 94115-2373
Phone (415) 923-3007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040909000376 CA Part B Supplier - Clinic/Group Practice 5890761936 Receives reassigned benefits from 15 practitioners
Practice locations: San Francisco, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1070320Pacific Eye Associates2100 Webster Street, Suite 214, San Francisco, CA 94115Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

2100 Webster St
Ste 214
San Francisco, CA 94115
Phone (415) 923-3007

2233 Post St
San Francisco, CA 94115
Phone (415) 476-4952

Interoperability endpoints

  • Direct secure messaging: afung@pacificeye.intellechartdirect.net
  • Direct secure messaging: azaidi@pacificeye.intellechartdirect.net
  • Direct secure messaging: cwang@pacificeye.intellechartdirect.net
  • Direct secure messaging: dheiden@pacificeye.intellechartdirect.net
  • Direct secure messaging: dlin@pacificeye.intellechartdirect.net
  • Direct secure messaging: echarlson@pacificeye.intellechartdirect.net
  • Direct secure messaging: jsung@pacificeye.intellechartdirect.net
  • Direct secure messaging: kgee@pacificeye.intellechartdirect.net
  • Direct secure messaging: koxford@pacificeye.intellechartdirect.net
  • Direct secure messaging: kyeh@pacificeye.intellechartdirect.net
  • Direct secure messaging: kzang@pacificeye.intellechartdirect.net
  • Direct secure messaging: michimoto@pacificeye.intellechartdirect.net
  • Direct secure messaging: sso@pacificeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1265464739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 214",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WEBSTER ST",
            "address_2": "SUITE 214",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152373",
            "telephone_number": "415-923-3007",
            "fax_number": "415-923-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYE ASSOCIATES, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-923-3007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.