MEDICARE: REGENCY EYE CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1164976726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGENCY EYE CARE, INC.

Provider Business Mailing Address
First Line	:	3952 CLAIREMONT MESA BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-2739
Country	:	US
Telephone Number	:	858-581-9183
Fax Number	:

Provider Business Practice Location Address
First Line	:	3952 CLAIREMONT MESA BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-2739
Country	:	US
Telephone Number	:	858-581-9183
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MIHIR PARIKH
Credential	:	M.D.
Telephone Number	:	858-442-7891

Provider Enumeration Date	:	08/11/2016
Last Update Date	:	01/31/2022

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Directions to “REGENCY EYE CARE, INC. ” Practice Location

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