Pacific Eye Surgeons, A California Professional Medical Corporation
NPI 1548262751ActiveOrganization· Ophthalmology· San Luis Obispo, CA
Ophthalmology in San Luis Obispo, California, registered in NPPES in June 2005. The authorized official on file is Clifton Chad Bazhaw, Chief Revenue Officer. Enrolled in Medicare as dme supplier - physician - general surgery and part b supplier - clinic/group practice.
Overview
| NPI | 1548262751 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2005 |
| Last updated in NPPES | Feb 10, 2026 |
| Certified by provider | Feb 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | 2685147 | CA |
| Eyewear Supplier (Equipment, not the service) | 332H00000X | — | — |
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) | Enrolled DME Supplier - Physician - General Surgery (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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