Organization
PACIFIC EYE SURGEONS, A CALIFORNIA PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON CHAD BAZHAW (CHIEF REVENUE OFFICER)
(214) 893-0471
Entity
Organization
Contact information
Practice address
931 OAK PARK BLVD STE 201, PISMO BEACH, CA 93449-3404
(805) 437-6640
(805) 473-5873
Mailing address
3855 BROAD ST STE B, SAN LUIS OBISPO, CA 93401-7109
(805) 545-8100
(805) 548-8785
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/18/2009
Last updated
02/10/2026
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