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JOHN E BOKOSKY MD FACS INC NPI 1366429441


NPI Information

NPI: 1366429441
Provider Name: JOHN E BOKOSKY MD FACS INC

Doing Business As: EYECARE OF SAN DIEGO

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
3939 3RD AVE
SAN DIEGO, CA
ZIP 92103
Phone: (619) 296-8525
Get Directions

JOHN E BOKOSKY MD FACS INC is an ophthalmology in San Diego, 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. JOHN E BOKOSKY MD FACS INC NPI is 1366429441. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eyecare Of San Diego.

The provider's business location address is:

3939 3RD AVE
SAN DIEGO, CA
ZIP 92103-002
Phone: (619) 296-8525
Fax: (619) 692-0229

The provider's authorized official is John E Bokosky .
The authorized official title is Owner and has the following contact phone number (619) 243-0629.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 6/20/2008.


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
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

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
1W13418MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
23973840001MEDICARE NSCCALIFORNIA
3GR0092690MEDICAIDCALIFORNIA

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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