Pacific Eye Specialists, a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G53132 Issued in CA

Legal business name

PACIFIC EYE SPECIALISTS, A PROFESSIONAL CORPORATION

Doing business as

Pacific Eye Specialists, A Professional Corporation

Practice address

1850 Sullivan Ave
Suite 540
Daly City, CA 94015-2215

Phone

(650) 755-6900

Fax

(650) 755-2107

NPI assigned

Jul 12, 2006

Last updated

Jun 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Hee, MDNPI 1801891551

Title

Owner

Phone

(650) 755-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pacific Eye Specialists, A Professional Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Bernd Kutzscher MD a Prof Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pacific Eye Specialists, a Professional Corporation

  • Eyewear Supplier
  • Daly City, CA
  • NPI 1407062698
  NPD tax ID

Practitioners 5

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.

• Michael Richard Hee, MD PHD

  • Ophthalmology Physician
  • Daly City, CA
  • NPI 1801891551
  Medicare reassignment Care Compare group NPD Authorized official
• Anh Diem Bui, MD

  • Ophthalmology Physician
  • Daly City, CA
  • NPI 1558820811
  Medicare reassignment Care Compare group NPD
• Bernd Michael Kutzscher, M.D.

  • Ophthalmology Physician
  • Daly City, CA
  • NPI 1891791133
  Medicare reassignment NPD
• Alex Onishi

  • Ophthalmology Physician
  • Daly City, CA
  • NPI 1710351622
  Medicare reassignment NPD
• Rachelle Arjona Rebong

  • Student in an Organized Health Care Education/Training Program
  • San Francisco, CA
  • NPI 1578852307

  Ophthalmology

  Medicare reassignment NPD

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1578588489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "SUITE 540",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152221",
            "telephone_number": "650-755-6900",
            "fax_number": "650-755-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE",
            "address_2": "SUITE 540",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152215",
            "telephone_number": "650-755-6900",
            "fax_number": "650-755-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYE SPECIALISTS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "HEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-755-6900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G53132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Eye Specialists, A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• P.S.M.R.C., LLC (Peninsula Sports Medicine and Rehabilitation Center)
• Pacaldo LLC (A & J Assisted Living Facility)
• Jacinto Mendoza Pacana III
• Pacific Cardiovascular Surgeons a Medical Corporation
• Pacific Eye Specialists, a Professional Corporation
• Pacific Spine & Joint Medical Group
• Pacifica Daly 2 LP (Serra Highlands Senior Living)
• Pacifica Daly LLC (Pacifica Senior Living Mission Villa)
• Mico Pagkalinawan, PT, DPT
• Tomalika Ahsan Paik, M.D

• Ophthalmology Physician in Daly City, CA
• Providers in Daly City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.

Verify at the official NPI Registry.