# PENINSULA LASER EYE MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1649332990
- **Authorized official:** DANIEL J. BEERS M.D. (OWNER)
- **Authorized official phone:** (650) 961-2585

## Contact information

- **Practice address:** 1174 CASTRO ST, SUITE 100, MOUNTAIN VIEW, CA 94040-2568
- **Practice address phone:** (650) 961-2585
- **Practice address fax:** (650) 961-6527
- **Mailing address:** 1174 CASTRO ST, SUITE 100, MOUNTAIN VIEW, CA 94040-2568
- **Mailing address phone:** (650) 961-2585
- **Mailing address fax:** (650) 961-6527

## Taxonomy

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

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 01/06/2015