Organization
PENINSULA EYE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH NEVITT MD (OWNER)
(650) 324-0056
Entity
Organization
Contact information
Practice address
1391 WOODSIDE RD STE 200, REDWOOD CITY, CA 94061-3574
(650) 324-0056
Mailing address
1391 WOODSIDE RD STE 200, REDWOOD CITY, CA 94061-3574
(650) 324-0056
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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