Perry, Pratt, & Coden , a Medical Corporation

Key facts

NPI: 1982808390
Entity type: Organization (NPI type 2)
Primary specialty: Ophthalmology Physician 207W00000X
Legal business name: PERRY, PRATT, & CODEN , A MEDICAL CORPORATION
Practice address: 9850 Genesee Ave
Suite 310
La Jolla, CA 92037-1224
Phone: (858) 457-3010
Fax: (858) 457-0028
NPI assigned: Jun 12, 2007
Organization subpart: No

Authorized official

Name: Arthur C Perry, M.D. NPI 1194832725
Title: Owner
Phone: (858) 457-3010

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Retina Institute of California Medical Group, a California Medical Par Optometrist · Torrance, CA · NPI 1538725809

NPD member Member Of

Practitioners 4

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

Arthur C Perry, MD Ophthalmology Physician · La Jolla, CA · NPI 1194832725

Medicare reassignment NPD Authorized official CA · OPHTHALMOLOGY
William John Bigham, MD Ophthalmology Physician · Coronado, CA · NPI 1104893692

Medicare reassignment NPD CA · OPHTHALMOLOGY
Daniel J Coden, MD Ophthalmology Physician · La Jolla, CA · NPI 1942317508

Medicare reassignment NPD CA · OPHTHALMOLOGY
Steven G Pratt, MD Ophthalmology Physician · La Jolla, CA · NPI 1407963044

Medicare reassignment NPD CA · OPHTHALMOLOGY

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20050208000832	CA	Part B Supplier - Clinic/Group Practice	2769433648	Receives reassigned benefits from 4 practitioners Practice locations: La Jolla, CA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ophthalmology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207W00000X		CA	Yes

Addresses

Primary practice location

9850 Genesee Ave
Suite 310
La Jolla, CA 92037-1224

Mailing address

9850 Genesee Ave
Suite 310
La Jolla, CA 92037-1224
Phone (858) 457-3010

Other providers in La Jolla, CA

All providers in La Jolla, CA · Ophthalmology Physician in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.