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PRECISION EYE CARE A MEDICAL CORP CLINIC NPI 1932111473


NPI Information

NPI: 1932111473
Provider Name: PRECISION EYE CARE, A MEDICAL CORP CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
655 EUCLID AVE
SUITE 302
NATIONAL CITY, CA
ZIP 91950
Phone: (619) 472-1010
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PRECISION EYE CARE, A MEDICAL CORP CLINIC is a specialist in National City, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PRECISION EYE CARE, A MEDICAL CORP CLINIC NPI is 1932111473. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

655 EUCLID AVE
SUITE 302
NATIONAL CITY, CA
ZIP 91950-957
Phone: (619) 472-1010
Fax: (619) 472-2092

The provider's authorized official is Gordon James Montgomery .
The authorized official title is Proprietor and has the following contact phone number (619) 472-1010.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 9/10/2015.


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
1174400000XSpecialistG31591CALIFORNIAYes

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
1GSD0001350OTHERCALIFORNIAMEDI-CAL OPTICAL
2W7308MEDICARE PINCALIFORNIA
3W7308BMEDICARE PINCALIFORNIA
4GR0057790MEDICAIDCALIFORNIA
50648000001MEDICARE NSCCALIFORNIA
60648000001OTHERCALIFORNIACIGNA-DURABLE EQUIP

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: 4/28/2024

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