=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336935089
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EYESEE APC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2025
-----------------------------------------------------
Last Update Date | 04/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8950 VILLA LA JOLLA DR STE C130
-----------------------------------------------------
City | LA JOLLA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92037-1707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-280-2224
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4079 GOVERNOR DR # 5035
-----------------------------------------------------
City | SAN DIEGO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92122-2522
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-280-2224
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | BISHOY SAID
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 559-280-2224
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QH0100X
-----------------------------------------------------
Taxonomy Name | Health Service Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------