SAN DIEGO EYE GROUP, INC.


Address: 12395 El Camino Real, Suite 300, San Diego, CA 92130-3085
Phone: 8587930093

SAN DIEGO EYE GROUP, INC. (NPI# 1487974101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487974101
Entity Type Organization
Organization Name SAN DIEGO EYE GROUP, INC.
Practice Address 12395 El Camino Real
Suite 300
San Diego
CA 92130-3085
Practice Telephone 8587930093
Mailing Telephone 8587930093
Enumeration Date 2010-06-03
Last Update Date 2010-06-08
Authorized Official Name DR. EDWIN S CHEN (PHYSICIAN)
Authorized Official Telephone 8587930093
Authorized Official Credential M. D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Office Location

Street Address 12395 EL CAMINO REAL
SUITE 300
City SAN DIEGO
State CA
Zip Code 92130-3085

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457337313 Scripps Clinic Medical Group Clinic/Center 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 2005-12-21
1003299892 Roya Mirkhan,dmd,msd,inc. Dentist 12395 El Camino Real, Suite Number 314, San Diego, CA 92130-3082 2015-06-30
1033544408 Sea Breeze Pediatrics, Apc Clinic/Center 12395 El Camino Real, Suite 311, San Diego, CA 92130-3082 2013-09-04
1184922197 Karen Freeman Dietitian, Registered 12395 El Camino Real, Suite 115, San Diego, CA 92130 2011-03-01
1467778456 Julia Ann Shrivastava Family Medicine 12395 El Camino Real, Suite 120, San Diego, CA 92130-3082 2010-04-15
1568795185 Markos N Botros Dentist 12395 El Camino Real, Suite 101, San Diego, CA 92130-3082 2009-09-14
1417190448 Jason R. Lupton, M.d., Inc. Dermatology 12395 El Camino Real, Suite 207, San Diego, CA 92130-3082 2009-04-07
1649439563 Christen Marie Benke Family Medicine 12395 El Camino Real, Suite 120, San Diego, CA 92130-3083 2008-06-05
1689860108 Carmel Valley Pediatrics Pediatrics 12395 El Camino Real, Suite 315, San Diego, CA 92130-3082 2007-09-18
1871799213 John Graves Dawkins Family Medicine 12395 El Camino Real, #120, San Diego, CA 92130-3082 2007-06-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629692397 Tlc Family Therapy Marriage & Family Therapist 5965 Village Way. Suite 105 #112, San Diego, CA 92130 2020-05-29
1447746169 Jack Perlov Psychiatry & Neurology 3535 Caminito El Rincon, Unit 268, San Diego, CA 92130 2018-07-05
1326551003 Theotokos, LLC Pharmacy 5550 Carmel Mountain Rd Ste 111, San Diego, CA 92130 2017-11-16
1154879146 Halie Hommes Occupational Therapist 12250 El Camino Real Ste 250, San Diego, CA 92130 2016-09-19
1790232015 Coastal Skin and Eye Institute, Inc. Ophthalmology 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 2016-09-02
1720534951 Nosti and Rygg Dental Corporation Dentist 5550 Carmel Mountain Road, Ste 200, San Diego, CA 92130 2016-08-28
1831644053 Marco Savittieri Dentist 3715 Ruette De Vl, San Diego, CA 92130 2016-08-17
1336508621 Discovery Practice Management, Inc Psychiatric Residential Treatment Facility 11455 Camino Real, Ste 360, San Diego, CA 92130 2016-02-16
1427434679 Coast Pediatrics Carmel Valley Pediatrics 5965 Village Drive, Suite 201, San Diego, CA 92130 2015-08-10
1659753762 T Sidal Dds Md Inc Dentist 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 2015-06-25
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700496320 William Thomas Parker Ophthalmology 5279 Gaylord Pl, San Diego, CA 92117-1034 2020-08-07
1932763042 Logan M. Haak, M.d., Inc. Ophthalmology 1855 1st Ave # 200b, San Diego, CA 92101-2685 2019-04-24
1871009001 Glenn Paul Goltz Ophthalmology 4240 Arguello St, San Diego, CA 92103-1506 2017-12-26
1790232015 Coastal Skin and Eye Institute, Inc. Ophthalmology 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 2016-09-02
1811350549 Nora El-khatib Md Inc. Ophthalmology 302 Washington St # 150-1676, San Diego, CA 92103-2110 2016-03-31
1225419583 Andrew Cu-unjieng, M.d. Ophthalmology 4060 Fourth Ave Ste 405, San Diego, CA 92103-2121 2015-06-12
1215277272 Joseph Hartman Ophthalmology 5006 Westminster Ter, San Diego, CA 92116-2103 2013-02-27
1477804284 Michelle B. Crosby M.d., Ph.d. Incorporated Ophthalmology 5550 Carmel Mountain Rd Ste 206, San Diego, CA 92130-4861 2012-09-20
1467714311 Eye Care Associates of San Diego Medical Group, Inc. Ophthalmology 4455 Morena Blvd, Suite 203, San Diego, CA 92117-4358 2012-06-15
1790041804 Jessica Gomez Ophthalmology 7695 Cardinal Ct Ste 100, San Diego, CA 92123-3357 2012-04-03
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Competitor

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City SAN DIEGO
Zip Code 92130

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Dataset Information

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.

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