Pacific Eye Specialists

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PACIFIC EYE SPECIALISTS

Practice address

50 S San Mateo Dr Ste 200
San Mateo, CA 94401-3859

Phone

(650) 342-4595

Fax

(650) 342-3932

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Linda Quon, OD

Title

Optometrist

Phone

(650) 342-4595

Specialties & licenses 1

Addresses

Tax ID family

Mid Peninsula Eye Phys Sur Med2 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.

• Mid Peninsula Eye Physicians & Surgeons Medical Group

  • Ophthalmology Physician
  • San Mateo, CA
  • NPI 1407924889
  NPD tax ID

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679690150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013859",
            "telephone_number": "650-342-4595",
            "fax_number": "650-342-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S SAN MATEO DR STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013859",
            "telephone_number": "650-342-4595",
            "fax_number": "650-342-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "650-342-4595",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Kristan Ow
• Audrey Lamar Owens, MSPT
• Pacific Autism Learning Services, Inc
• Pacific Center for Oculofacial and Aesthetic Plastic Surgery PC
• Pacific Coast Care Coordination Agency LLC
• Pacific Foot Care Podiatry Group Inc
• Pacific Network Imaging, Inc.
• Pacific Procedure Center
• Pacific Psycare Associates
• Ashley Marie Pacini

• Optometrist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.