Provider Type Icon

PACIFIC VISION MEDICAL CENTER NPI 1346399433


NPI Information

NPI: 1346399433
Provider Name: PACIFIC VISION MEDICAL CENTER
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
515 E WASHINGTON BLVD
CRESCENT CITY, CA
ZIP 95531
Phone: (707) 465-2020
Get Directions

PACIFIC VISION MEDICAL CENTER is an ophthalmology in Crescent City, CA. 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. PACIFIC VISION MEDICAL CENTER NPI is 1346399433. The provider is registered as an organization entity type.

The provider's business location address is:

515 E WASHINGTON BLVD
CRESCENT CITY, CA
ZIP 95531-342
Phone: (707) 465-2020
Fax: (707) 465-6252

The provider's authorized official is Larry A Eninger .
The authorized official title is Partner and has the following contact phone number (707) 465-2020.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 6/29/2020.


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
1332H00000XEyewear Supplier0534820001CALIFORNIANo
2152W00000XOptometristZZZ28910ZCALIFORNIANo
3207W00000XOphthalmologyZZZ28910ZCALIFORNIAYes

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
1GR0052190MEDICAIDCALIFORNIA

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

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.