PACIFIC VISION INSTITUTE SURGICAL INC
NPI 1295907673
Ophthalmology in San Francisco, CA

Active since March 26, 2008
1 DANIEL BURNHAM CT STE 170C, SAN FRANCISCO, CA 94109(415) 922-9500(415) 922-9568 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pacific Vision Institute Surgical Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC VISION INSTITUTE SURGICAL INC (NPI 1295907673) is a healthcare organization registered as an ophthalmology in San Francisco, California and active in the NPI registry since March 2008. The organization lists Jamie R Gibeaut, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1295907673
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePACIFIC VISION INSTITUTE SURGICAL INC
Location Address1 DANIEL BURNHAM CT STE 170CSan Francisco, CA 94109-0455
Mailing Address1 Daniel Burnham Ct Ste 170cSan Francisco, CA 94109-0455 · (415) 922-9500 · Fax (415) 922-9568
Fax(415) 922-9568
Organization SubpartNo
Authorized OfficialJamie R GibeautPractice Administrator · (415) 922-9500
Enumeration DateMarch 26, 2008
Last NPPES UpdateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1295907673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G79065
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.
1 DANIEL BURNHAM CT STE 170C, San Francisco, CA 94109

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Vision Institute Surgical Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Pacific Vision Institute Surgical Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Ophthalmology
NPI 1871097451
1 DANIEL BURNHAM CT STE 170C
San Francisco, CA 94109
(415) 922-9500
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1013042266
1 DANIEL BURNHAM CT SUITE 170-C
San Francisco, CA 94109
(415) 922-9500
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1992719124
11620 WILSHIRE BLVD SUITE 711
Los Angeles, CA 90025
(310) 444-1134
✔ PECOS✔ Accepts Medicare340 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Vision Institute Surgical Inc's NPI number?

The NPI number for Pacific Vision Institute Surgical Inc is 1295907673. It was assigned to this organization in the NPPES registry on March 26, 2008.

Where is Pacific Vision Institute Surgical Inc located?

Pacific Vision Institute Surgical Inc is located at 1 Daniel Burnham Ct Ste 170C, San Francisco, CA 94109. The listed phone number is (415) 922-9500.

What is Pacific Vision Institute Surgical Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Pacific Vision Institute Surgical Inc enrolled in Medicare?

Yes. Pacific Vision Institute Surgical Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Vision Institute Surgical Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Ophthalmology, reassign their Medicare billing to Pacific Vision Institute Surgical Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pacific Vision Institute Surgical Inc was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.