# PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION

> 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:** 1548262751
- **Authorized official:** CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
- **Authorized official phone:** (214) 893-0471

## Contact information

- **Practice address:** 3855 BROAD ST STE B, SAN LUIS OBISPO, CA 93401-7109
- **Practice address phone:** (805) 545-8100
- **Mailing address:** 3165 BROAD ST, SUITE 112, SAN LUIS OBISPO, CA 93401-6778
- **Mailing address phone:** (805) 545-7881
- **Mailing address fax:** (805) 548-8785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 2685147 | CA | Yes |
| 332H00000X | Eyewear Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/01/2005
- **Last updated:** 02/10/2026