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POLARIS EYE & LASER A MEDICAL CORPORATION NPI 1538259049


NPI Information

NPI: 1538259049
Provider Name: POLARIS EYE & LASER, A MEDICAL CORPORATION

Doing Business As: POLARIS EYE & LASER, INC.

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
2505 SAMARITAN DR
SUITE 310
SAN JOSE, CA
ZIP 95124
Phone: (408) 358-3932
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POLARIS EYE & LASER, A MEDICAL CORPORATION is an ophthalmologic surgery clinic center in San Jose, CA. POLARIS EYE & LASER, A MEDICAL CORPORATION NPI is 1538259049. The provider is registered as an organization entity type.
The provider Is Doing Business As Polaris Eye & Laser, Inc..

The provider's business location address is:

2505 SAMARITAN DR
SUITE 310
SAN JOSE, CA
ZIP 95124-006
Phone: (408) 358-3932
Fax: (408) 358-3935

The provider's authorized official is Jeehee Kim .
The authorized official title is President and has the following contact phone number (408) 358-3932.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 11/13/2007.


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
1261QS0132XClinic/CenterOphthalmologic SurgeryG84931CALIFORNIAYes

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
1G30653MEDICARE UPIN
25886210001MEDICARE 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: 4/28/2024

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