Healthcare Provider Details

I. General information

NPI: 1669599155
Provider Name (Legal Business Name): DENNY EYE AND LASER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 VAN NESS AVE STE 300
SAN FRANCISCO CA
94102-3286
US

IV. Provider business mailing address

2201 WEBSTER STREET
SAN FRANCISCO CA
94115
US

V. Phone/Fax

Practice location:
  • Phone: 415-567-8200
  • Fax:
Mailing address:
  • Phone: 415-567-8200
  • Fax: 415-567-2973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG44848
License Number StateCA

VIII. Authorized Official

Name: DR. KEVIN JOHN DENNY
Title or Position: OWNER MEDICAL PROVIDER
Credential: M.D.
Phone: 415-567-8200