EYEGEN SAN MATEO (NPI# 1477750545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477750545 |
| Entity Type | Organization |
| Organization Name | EYEGEN SAN MATEO |
| Other Organization Name | SITE FOR SORE EYES |
| Practice Address |
115 E 3rd Ave San Mateo CA 94401-4012 |
| Practice Telephone | 4153471500 |
| Mailing Telephone | 4153471500 |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK BEZVERKH (MANAGER) |
| Authorized Official Telephone | 4153471500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| SITE FOR SORE EYES | Doing Business As Name - Organization |
| Street Address |
115 E 3RD AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94401-4012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639589872 | Sp Spectacles | Eyewear Supplier (Equipment, not the service) | 115 E 3rd Ave, San Mateo, CA 94401-4012 | 2014-04-28 |
| 1891079356 | Visioncare of California Inc. | Optometrist | 115 E 3rd Ave, San Mateo, CA 94401-4012 | 2011-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800760 | Monica Marie Rivas | Behavior Technician | 429 Peninsula Avenue, San Mateo, CA 94401 | 2020-08-05 |
| 1609412865 | Cindy Toshiko Hedlin | Marriage & Family Therapist | 1117 S. B Street, Suite 9, San Mateo, CA 94401 | 2019-11-22 |
| 1750846655 | James Court Manor Inc. | Assisted Living Facility | 1316 James Court, San Mateo, CA 94401 | 2019-02-05 |
| 1467991778 | Maria Elena Lopez | Student in an Organized Health Care Education/Training Program | 325 Villa Terrace, San Mateo, CA 94401 | 2017-02-20 |
| 1487198339 | Johnie Pangelina | Behavioral Analyst | 242 Peninsula Ave, San Mateo, CA 94401 | 2016-12-12 |
| 1740736230 | Meredith Eileen Morgan | Dentist | 100 S. Ellsworth Av, #601, San Mateo, CA 94401 | 2016-08-25 |
| 1376998963 | Lior Tamir | Dentist | 800 B Street Suite #200, San Mateo, CA 94401 | 2016-05-02 |
| 1609233584 | Delicia Ortega | Behavioral Analyst | 424 Peninsula Avenue, San Mateo, CA 94401 | 2016-01-22 |
| 1396122388 | Ramy Salah | Internal Medicine | 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 | 2015-04-29 |
| 1508255902 | Risso Counseling, Inc. | Marriage & Family Therapist | 120 North El Camino Real, San Mateo, CA 94401 | 2015-01-22 |
| Find all providers in zip 94401 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997902 | Blue Lotus Connection | Point of Service | 1700 S Amphlett Blvd, Ste 250b, San Mateo, CA 94402 | 2017-12-11 |
| 1609290030 | San Mateo County Aging and Adult Services | Point of Service | 225 37th Ave, San Mateo, CA 94403-4324 | 2014-02-05 |
| 1710139241 | Dyshun Beshears | Point of Service | 1950 Alameda De Las Pulgas, San Mateo, CA 94403-1222 | 2008-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923607 | Jm Medical Solutions, LLC | Point of Service | 7741 Hollywood Blvd, Los Angeles, CA 90046 | 2020-08-17 |
| 1710508585 | Toxicity Assessors Global of Pennsylvania LLC | Point of Service | 1430 5th St Apt 505, Santa Monica, CA 90401-4421 | 2020-05-02 |
| 1710525092 | Rex Ross Bennett Jr. | Point of Service | 22687 E Cliff Dr, Santa Cruz, CA 95062-5357 | 2019-12-17 |
| 1508401985 | Live Leveled Family Therapy, Inc | Point of Service | 809 Quarry Rd Apt B, San Francisco, CA 94129-1150 | 2019-11-09 |
| 1558906982 | Session Sync, Inc. | Point of Service | 44262 Marcelina Court, Temecula, CA 92592 | 2019-11-08 |
| 1629622063 | Rose Woo Psychologists Inc | Point of Service | 16 S Oakland Ave Ste 214, Pasadena, CA 91101-2042 | 2019-07-24 |
| 1770136426 | Hmk Medical Transportation | Point of Service | 267 Aldama Ave, Pomona, CA 91767-1749 | 2019-07-22 |
| 1427516681 | Klifford T Kapus Dds., Msd A Dental Corporation | Point of Service | 4200 East Ave Ste 100, Livermore, CA 94550-4945 | 2019-03-06 |
| 1821553850 | Reginald Washington | Point of Service | 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 | 2019-02-04 |
| 1417432246 | Access Multilingual Services, Inc. | Point of Service | 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EYEGEN SAN MATEO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.