# ENVISION EYE, A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Associated Eye Surgeons Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447215975
- **Authorized official:** DR. PADMA NANDURI M.D., F.A.C.S. (PRESIDENT)
- **Authorized official phone:** (858) 450-1010

## Contact information

- **Practice address:** 9834 GENESEE AVE, SUITE 406, LA JOLLA, CA 92037-1223
- **Practice address phone:** (858) 450-1010
- **Practice address fax:** (858) 450-9451
- **Mailing address:** 9834 GENESEE AVE, SUITE 406, LA JOLLA, CA 92037-1223
- **Mailing address phone:** (858) 450-1010
- **Mailing address fax:** (858) 450-9451

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 02/15/2008