# SAN DIEGO EYE BANK

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326176702
- **Authorized official:** MR. JEFFREY G PENTA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (858) 694-0444

## Contact information

- **Practice address:** 9444 BALBOA AVE, SUITE 100, SAN DIEGO, CA 92123-4447
- **Practice address phone:** (858) 694-0444
- **Practice address fax:** (858) 565-7368
- **Mailing address:** 9444 BALBOA AVE, SUITE 100, SAN DIEGO, CA 92123-4447
- **Mailing address phone:** (858) 694-0444
- **Mailing address fax:** (858) 565-7368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332G00000X | Eye Bank | CNC80040 | CA | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/22/2020