Pacific Eye Surgeons, a California Professional Medical Corporation

Organization Active NPI Ophthalmology Physician · Orcutt, CA

NPI 1962003582 · NPPES record last updated Nov 2, 2020

Key facts

NPI
1962003582
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
Legal business name
PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION
Practice address
1140 E Clark Ave Ste 160
Orcutt, CA 93455-5188
Phone
(805) 503-1009
Fax
(805) 548-8785
NPI assigned
Nov 2, 2020
Organization subpart
No

Authorized official

Name
Janis Karen Pharr
Title
Billing Manager
Phone
(805) 503-1009

Corporate family (same tax ID) 9

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

Practitioners 16

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

National Provider Directory

Tax ID family
Pacific Eye Surgeons a California Professional Medical Corporation (10 organizations share this tax ID)

Locations

1140 E Clark Ave
Ste 160
Santa Maria, CA 93455
Phone (805) 503-1009

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207W00000X Yes

Addresses

Primary practice location

1140 E Clark Ave Ste 160
Orcutt, CA 93455-5188

Mailing address

PO Box 5357
San Luis Obispo, CA 93403-5357
Phone (805) 503-1009

Other providers in Orcutt, CA

All providers in Orcutt, CA · Ophthalmology Physician in California

Sources for this page

Verify at the official NPI Registry.