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NPI Code Detail

MEDICARE: PACIFIC VISION EYE INSTITUTE, A MEDICAL CORPORATION

MEDICARE: PACIFIC VISION EYE INSTITUTE, A MEDICAL CORPORATION
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
1207W00000XOphthalmology Physician

General Provider Information

NPI Number : 1962990432
Entity Type Code : Organization
Provider Name (Legal Business Name) : PACIFIC VISION EYE INSTITUTE, A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : 711 VAN NESS AVE STE 260
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-3272
Country : US
Telephone Number : 415-393-1225
Fax Number :
Provider Business Practice Location Address
First Line : 711 VAN NESS AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94102-3244
Country : US
Telephone Number : 415-393-1225
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. KEVIN DENNY
Credential : MD
Telephone Number : 415-567-8200
Provider Enumeration Date : 04/30/2018
Last Update Date : 06/16/2018

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