San Pedro Eye Medical Group, Inc A Professional Medical Corporation
NPI 1235168055ActiveOrganization· Optometrist· San Pedro, CA
Optometrist in San Pedro, California, registered in NPPES in July 2006. The authorized official on file is Gene David Calkins, O.D., Owner/Partner.
Overview
| NPI | 1235168055 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2006 |
| Last updated in NPPES | Dec 14, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 7967 | CA |
| Optometrist | 152W00000X | 4919 | CA |
| Specialist | 174400000X | G14368 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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