# PACIFIC VISION SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacific Vision Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841858594
- **Authorized official:** KELLY BRYAN (PROGRAM MANAGER)
- **Authorized official phone:** (415) 420-3934

## Contact information

- **Practice address:** 711 VAN NESS AVE STE 230, SAN FRANCISCO, CA 94102-3271
- **Practice address phone:** (415) 997-6410
- **Practice address fax:** (415) 727-3851
- **Mailing address:** 711 VAN NESS AVE STE 230, SAN FRANCISCO, CA 94102-3271
- **Mailing address phone:** (415) 997-6410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2019
- **Last updated:** 05/27/2021