Pacific Vision Medical Center is a
Ophthalmology based in Crescent City, California. Pacific Vision Medical Center is licensed to practice in California (license number ZZZ28910Z) and their current practice location is
515 E Washington Blvd, Crescent City, California. It can be reached at their office (for appointments etc.) via phone at
(707) 465-2020.
NPI number for Pacific Vision Medical Center is 1346399433 and their current mailing address is 515 E Washington Blvd, Crescent City, California. Pacific Vision Medical Center
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1346399433.
Healthcare Provider's Profile
| Full Name | Pacific Vision Medical Center |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 515 E Washington Blvd, Crescent City, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346399433
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 06/29/2020
Medical Identifiers
Medical identifiers for Pacific Vision Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346399433 | NPI | - | NPPES |
| GR0052190 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | ZZZ28910Z (California) | Secondary |
| 207W00000X | Ophthalmology | ZZZ28910Z (California) | Primary |
| 332H00000X | Eyewear Supplier | 0534820001 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pacific Vision Medical Center is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pacific Vision Medical Center
515 E Washington Blvd,
Crescent City, CA 95531-8342
Ph: (707) 465-2020 | Pacific Vision Medical Center
515 E Washington Blvd,
Crescent City, CA 95531-8342
Ph: (707) 465-2020 |
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