Pacific Vision Medical Center
LBN: Pacific Vision Medical Center
Pacific Vision Medical Center is an health care organization with primary practice located at 515 E Washington Blvd , Crescent City CA 95531-8342. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Eyewear Supplier (Equipment, not the service). Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Pacific Vision Medical Center can be contacted via phone (707) 465-2020, or through Eninger, Larry A via phone (707) 465-2020.
Contact Information
Primary practice address
515 E Washington Blvd
Crescent City CA 95531-8342
Phone: (707) 465-2020
Fax: (707) 465-6252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ZZZ28910Z | California |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ZZZ28910Z | California |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | 0534820001 | California |
Profile Details
| NPI number | 1346399433 |
|---|---|
| LBN Legal business name | Pacific Vision Medical Center |
| DBA Doing business as | |
| Authorized official | Eninger, Larry A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jun 29th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346399433 | NPPES |
| California | MEDICAID | GR0052190 |
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