PACIFIC EYE SPECIALISTS
NPI 1407924889
Ophthalmology in San Mateo, CA
About Pacific Eye Specialists NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC EYE SPECIALISTS (NPI 1407924889) is a healthcare organization registered as an ophthalmology in San Mateo, California and active in the NPI registry since December 2006. The organization lists Natalie Kasumov, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 Eye Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Pacific Eye Specialists, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
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 Mid Peninsula Eye Physicians & Surgeons Medical Group's NPI number?
The NPI number for Mid Peninsula Eye Physicians & Surgeons Medical Group is 1407924889. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Pacific Eye Specialists.
Where is Mid Peninsula Eye Physicians & Surgeons Medical Group located?
Mid Peninsula Eye Physicians & Surgeons Medical Group is located at 50 S San Mateo Dr Suite 200, San Mateo, CA 94401. The listed phone number is (650) 342-4595.
What is Mid Peninsula Eye Physicians & Surgeons Medical Group's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mid Peninsula Eye Physicians & Surgeons Medical Group enrolled in Medicare?
Yes. Mid Peninsula Eye Physicians & Surgeons Medical Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mid Peninsula Eye Physicians & Surgeons Medical Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Mid Peninsula Eye Physicians & Surgeons Medical Group. 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. The largest specialties are Ophthalmology (6) and Optometry (5). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mid Peninsula Eye Physicians & Surgeons Medical Group was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pacific Eye Specialists · NPI 1407924889
Ophthalmology organization in San Mateo, California. Organization record, active in the CMS NPPES registry since December 1, 2006.
## Identity
- **NPI:** 1407924889 (Entity type: Organization)
- **Enumerated:** December 1, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Legal business name:** Mid Peninsula Eye Physicians & Surgeons Medical Group
- **Organization subpart:** No
- **Authorized official:** Natalie Kasumov, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 50 S SAN MATEO DR, SUITE 200, San Mateo, CA 94401-3857
- **Phone:** (650) 342-4595 · **Fax:** (650) 342-3932
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (6), Optometry (5); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407924889) · Data from the CMS NPPES public registry.