NPIMap

Organization Active NPI

San Diego Lasik Institute

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1326221003
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A80739 Issued in CA
Legal business name
SAN DIEGO LASIK INSTITUTE
Practice address
2020 Camino del Rio N Ste 808
San Diego, CA 92108-1546
Phone
(619) 298-2733
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Tony H Pham, M.D.NPI 1700844370
Title
President
Phone
(619) 298-2733

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 A80739 CA Primary

Addresses

Primary practice location

2020 Camino del Rio N Ste 808
San Diego, CA 92108-1546

Mailing address

2020 Camino del Rio N
Suite 808
San Diego, CA 92108-1541
Phone (619) 298-2733

National Provider Directory

National Provider Directory

Locations

2020 Camino del Rio N
Ste 808
San Diego, CA 92108
Phone (619) 298-2733

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1326221003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO N",
            "address_2": "SUITE 808",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081541",
            "telephone_number": "619-298-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO N STE 808",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081546",
            "telephone_number": "619-298-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO LASIK INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-298-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A80739",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 17, 2007; 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.