PACIFIC VISION MANAGEMENT LLC – NPI #1306512678
Clinic/Center

PACIFIC VISION MANAGEMENT LLC is an AHC clinic located in SAN FRANCISCO, CA. NPPES has assigned the NPI number 1306512678 to PACIFIC VISION MANAGEMENT LLC on August 18, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 5 years ago on Sep 24, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFIC VISION MANAGEMENT LLC below.

NPI Profile for
PACIFIC VISION MANAGEMENT LLC

NPI Number
1306512678
Enumeration Date

(about 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PACIFIC VISION MANAGEMENT LLC
Primary location
1 DANIEL BURNHAM CT
STE 170C
SAN FRANCISCO, CA 94133
Phone: (415) 922-9500 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GENE FAKTOROVICH
ADMINISTRATOR
Phone: (415) 922-9500
Updated
Certification Date
Sep 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.