Organization · NPI-2

Pacific Eye Surgeons, A California Professional Medical Corporation

Eyewear Supplier (Equipment, not the service) · Visalia, CA

NPI number1013702802
StatusActive
Last updated in NPPESApr 11, 2025

Details

NPI
1013702802
Entity type
Organization (NPI-2)
Legal business name
Pacific Eye Surgeons, A California Professional Medical Corporation
Organization subpart
No
Enumeration date
Apr 11, 2025
Certification date
Apr 11, 2025
Last updated
Apr 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Practice location

2830 W Main St
Visalia, CA 93291-4331

Phone 559-636-1000

Mailing address

3855 Broad St Ste B
San Luis Obispo, CA 93401-7109

Phone 805-545-7881

Authorized official

Clifton Chad Bazhaw
Chief Finacial Officer
4692706658

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