PENINSULA EYE SURGERY CENTER LLC
NPI 1770652216
Clinic/Center - Ophthalmologic Surgery in Mountain View, CA

NPI Status: Active since November 07, 2006

Contact Information

1128 W EL CAMINO REAL
MOUNTAIN VIEW, CA
ZIP 94040
Phone: (650) 964-3200
Fax: (650) 964-3206

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Ophthalmologic Surgery
  • CLIA Number: 05D1043905
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 08-04-2027

About PENINSULA EYE SURGERY CENTER LLC

This page provides the complete NPI Profile along with additional information for Peninsula Eye Surgery Center Llc, a provider established in Mountain View, California operating as a Clinic/center, focusing in ophthalmologic surgery . The healthcare provider is registered in the NPI registry with number 1770652216 assigned on November 2006. The practitioner's primary taxonomy code is 261QS0132X with license number 550000072 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Jeffrey M Fields (Vp)

NPI
1770652216
Provider Name
PENINSULA EYE SURGERY CENTER LLC
Entity Type
Organization
Location Address
1128 W EL CAMINO REAL MOUNTAIN VIEW, CA 94040
Location Phone
(650) 964-3200
Location Fax
(650) 964-3206
Mailing Address
1128 W EL CAMINO REAL MOUNTAIN VIEW, CA 94040
Mailing Phone
(650) 964-3200
Mailing Fax
(650) 964-3206
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
08-21-2014
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ophthalmologic Surgery

Taxonomy Code
261QS0132X
Type
Ambulatory Health Care Facilities
License No.
550000072
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY M FIELDS

Authorized Official Title
VP
Authorized Official Phone
(205) 545-2572

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
AS1737OTHER (01)BLUE CROSS
SUR01737FMEDICAID (05)CA 
ZZZ318562ZMEDICARE ID-TYPE UNSPECIFIED (04) 
05C0001737MEDICARE ID-TYPE UNSPECIFIED (04) 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration of lens material by aspiration

Aspiration of lens material is a procedure done to remove clouded lens material from the eye, often due to cataracts. A tiny probe is used to break up and suction out the clouded lens, helping improve vision.

This service was performed 13 times for 12 patients

Aspiration or release of eye fluid between lens and retina

This procedure involves removing excess fluid from the eye to improve vision. It's done when fluid builds up between the lens and retina, causing blurriness or vision loss. A small tool is used to gently extract the fluid, helping to restore normal vision.

This service was performed 11 times for 11 patients

Complex extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

This procedure involves removing a cloudy lens (cataract) from your eye through a larger incision, replacing it with an artificial one. A drainage device is also inserted in the front part of your eye to manage fluid levels, helping maintain eye health.

This service was performed 14 times for 13 patients

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 394 times for 306 patients

Creation of eye fluid drainage tracts in iris using a laser, per session

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

This service was performed 23 times for 15 patients

Dilation of fluid outflow drainage within eye

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

This service was performed 55 times for 44 patients

Exchange of prosthetic lens

An exchange of a prosthetic lens involves replacing an artificial lens in your eye. This is often done if the current lens isn't functioning properly or causing discomfort. The procedure involves removing the old lens and inserting a new one, aiming to improve your vision.

This service was performed 26 times for 23 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

This service was performed 48 times for 34 patients

Incision to improve eye fluid flow

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

This service was performed 53 times for 37 patients

Processing, preserving and transporting corneal tissue

Processing, preserving, and transporting corneal tissue involve careful steps to ensure its viability for transplantation. The tissue is first cleaned, then preserved in a special solution. It's packed in a temperature-controlled container for safe transport to its destination.

This service was performed 19 times for 17 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 2,435 times for 1,524 patients

Removal of recurring cataract in lens capsule using a laser

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

This service was performed 210 times for 180 patients

Removal or relocation of corneal conjunctiva with graft

This procedure involves the removal or relocation of the conjunctiva, a thin layer covering the white part of your eye, and replacing it with a graft. This is typically done to treat conditions affecting the eye's surface, improving comfort and vision.

This service was performed 13 times for 12 patients

Repositioning of lens prosthesis

Repositioning of lens prosthesis is a procedure to adjust an artificial lens in your eye. This is often necessary if the lens has moved from its original place after cataract surgery or due to other eye conditions. The goal is to improve your vision.

This service was performed 17 times for 17 patients

Revision or repair of operative wound of eye

A revision or repair of an operative wound of the eye is a procedure to fix complications from a previous eye surgery. It involves addressing issues like infection, healing problems, or incorrect positioning of surgical materials. The goal is to promote proper healing and restore optimal eye function.

This service was performed 13 times for 13 patients

Transplantation of outer layer of corneal tissue

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

This service was performed 20 times for 18 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1043905
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
August 05, 2025
Certificate Expiration Date
August 04, 2027
Laboratory Director
DAVID F. CHANG MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Peninsula Eye Surgery Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PENINSULA EYE SURGERY CENTER LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770652216, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
5
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 6 → 12 → 3 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 2 + 5 + 4 + 2 + 2 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1770652216.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Anesthesiology
1128 W EL CAMINO REAL
MOUNTAIN VIEW, CA 94040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770652216, enumerated as an "organization" on November 07, 2006.

The provider is located at 1128 W EL CAMINO REAL MOUNTAIN VIEW, CA 94040 and the phone number is (650) 964-3200.

Clinic/Center with taxonomy code 261QS0132X and a focus in Ophthalmologic Surgery.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.