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DR. JEFFREY PHILLIP WASSERSTROM M.D. NPI 1710922687


NPI Information

NPI: 1710922687
Provider Name: DR. JEFFREY PHILLIP WASSERSTROM, M.D.
Classification: Ophthalmology - 207W00000X
Entity Type: Individual
Organization: RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP A CALIFORNIA MEDICAL PAR

PECOS Registration: Yes

Address:
5565 GROSSMONT CENTER DR
BLDG. 3 SUITE 551
LA MESA, CA
ZIP 91942
Phone: (619) 698-1088
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DR. Jeffrey Phillip Wasserstrom, M.D. is an ophthalmology in La Mesa, CA with 43 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Jeffrey Phillip Wasserstrom, M.D. NPI is 1710922687. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1981

The provider's business location address is:

5565 GROSSMONT CENTER DR
BLDG. 3 SUITE 551
LA MESA, CA
ZIP 91942-020
Phone: (619) 698-1088
Fax: (619) 698-1189

The NPI 1710922687 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Diagnostic imaging of optic nerve of eye (HCPCS:92133)
  • Measurement of field of vision during daylight conditions (HCPCS:92083)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)
  • Diagnostic imaging of retina (HCPCS:92134)

The enumeration date for this NPI number is 6/17/2006 and was last updated on 2/6/2014.


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
1207W00000XOphthalmologyG54813CALIFORNIAYes

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
1A52799MEDICARE UPINCALIFORNIA
200G548130MEDICAIDCALIFORNIA
3G54813MEDICARE PINCALIFORNIA
44286890001MEDICARE NSCCALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.