| Organization Name: | MID PENINSULA EYE PHYSICIANS & SURGEONS MEDICAL GROUP |
| NPI Number: | 1407924889 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATALIE KASUMOV (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 50 S San Mateo Dr Suite 200 San Mateo |
| State: | CA US |
| Postal Code: | 944013857 |
| Phone Number: | 6503424595 |
| Fax Number: | 6503423932 |
| NPI Enumeration Date: | 12/01/2006 |
| NPI Last Update Date: | 06/26/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207W00000X |
| License Number: | TAX ID#========= |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Ophthalmology |
| Taxonomy Specialization: | |
| 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. |