Pacific Childrens Eyecare Medical Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A22914 Issued in CA

Legal business name

PACIFIC CHILDRENS EYECARE MEDICAL GROUP

Practice address

1517 North Point St.
#471
San Francisco, CA 94123

Phone

(415) 923-3926

Fax

(415) 276-3783

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Theodore Otis Paul, M.D.

Title

Owener

Phone

(925) 363-8170

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1467558361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 PACHECO BLVD",
            "address_2": "BUILDING A",
            "city": "PACHECO",
            "state": "CA",
            "postal_code": "945535126",
            "telephone_number": "925-363-8170",
            "fax_number": "925-363-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 NORTH POINT ST.",
            "address_2": "#471",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94123",
            "telephone_number": "415-923-3926",
            "fax_number": "415-276-3783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CHILDRENS EYECARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "OTIS",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "925-363-8170",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A22914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Pacheco
• Elizaveta Pachepsky, LMFT
• Natalia Pachote
• Pacific Audiology Inc.
• Pacific Avenue Medical Laboratory, Inc.
• Pacific Cognitive Behavioral Therapy (Pacific CBT)
• Pacific Cognitive Health, a Professional Psychological Corporation
• Pacific Crest Orthopedics PC
• Pacific Dental Associates
• Pacific Ear Nose and Throat Associates Inc

• Ophthalmology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.