Organization
PACIFIC VISION INSTITUTE SURGICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE R GIBEAUT (PRACTICE ADMINISTRATOR)
(415) 922-9500
Entity
Organization
Contact information
Practice address
1 DANIEL BURNHAM CT STE 170C, SAN FRANCISCO, CA 94109-0455
(415) 922-9500
(415) 922-9568
Mailing address
1 DANIEL BURNHAM CT STE 170C, SAN FRANCISCO, CA 94109-0455
(415) 922-9500
(415) 922-9568
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G79065
CA
Other
Enumeration date
03/26/2008
Last updated
12/07/2022
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