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PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE NPI 1164590766


NPI Information

NPI: 1164590766
Provider Name: PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 05D2083859

Address:
7605 MORRO RD
ATASCADERO, CA
ZIP 93422
Phone: (805) 466-3777
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PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE is an optometrist in Atascadero, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. PRIMARY EYECARE CENTER AN OPTOMETRIC PRACTICE NPI is 1164590766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7605 MORRO RD
ATASCADERO, CA
ZIP 93422-433
Phone: (805) 466-3777
Fax: (805) 466-3700

The provider's authorized official is Steven Sage Hider .
The authorized official title is Partner Optometrist and has the following contact phone number (805) 466-3777.

The CLIA number assigned to this NPI record is 05D2083859 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 4/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist10330CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CD1699OTHERCALIFORNIARAILROAD MEDICARE
20343970001MEDICARE NSCCALIFORNIA
3WYOO5AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAATASCADERO GROUP NUMBER
4GSD000530-9MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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