# BAYSHORE OPHTHALMIC CARE

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

## Provider details

- **NPI number:** 1912414673
- **Authorized official:** NISREEN KOTHARI MD (OWNER)
- **Authorized official phone:** (248) 760-9236

## Contact information

- **Practice address:** 162 CLINTON ST, REDWOOD CITY, CA 94062-1552
- **Practice address phone:** (650) 369-2529
- **Mailing address:** 250 KING ST UNIT 432, SAN FRANCISCO, CA 94107-5488
- **Mailing address phone:** (248) 760-9236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A144488 | CA | Yes |

## Other

- **Enumeration date:** 01/03/2018
- **Last updated:** 01/03/2018