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

Active since November 07, 2006CLIA 05D1043905 · Waiver
1128 W EL CAMINO REAL, MOUNTAIN VIEW, CA 94040(650) 964-3200(650) 964-3206 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Peninsula Eye Surgery Center Llc NPPES

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

PENINSULA EYE SURGERY CENTER LLC (NPI 1770652216) is a healthcare organization registered as an ophthalmologic surgery in Mountain View, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Jeffrey M Fields, Vp, as its authorized official.

NPPES Registry Identity

NPI1770652216
Entity TypeOrganization
Primary Taxonomy261QS0132X
Legal Business NamePENINSULA EYE SURGERY CENTER LLC
Location Address1128 W EL CAMINO REALMountain View, CA 94040-2518
Mailing Address1128 W El Camino RealMountain View, CA 94040-2518 · (650) 964-3200 · Fax (650) 964-3206
Fax(650) 964-3206
Organization SubpartNo
Authorized OfficialJeffrey M FieldsVp · (205) 545-2572
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 21, 2014
NPI 1770652216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ophthalmologic SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0132X
License Licensed in CA · 550000072
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X
1128 W EL CAMINO REAL, Mountain View, CA 94040

Other Identifiers 4

OtherAS1737Blue Cross
MedicaidSUR01737FCA
Medicare ID-Type UnspecifiedZZZ318562Z
Medicare ID-Type Unspecified05C0001737

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1043905

Peninsula Eye Surgery Center · Mountain View, CA
Active · expires Aug 4, 2027
CLIA Number05D1043905
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorDavid F. Chang MD
Laboratory Phone(650) 964-3200
Laboratory LocationPeninsula Eye Surgery Center1128 W El Camino Real, Mountain View, CA 94040
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
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.
2,511 services1,559 patients
Complex removal of cataract with insertion of prosthetic lens 66982
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.
366 services285 patients
Removal of recurring cataract in lens capsule using a laser 66821
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.
229 services190 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
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.
62 services43 patients
Incision to improve eye fluid flow 65820
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.
56 services37 patients
Dilation of fluid outflow drainage within eye 66174
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.
53 services39 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
1128 W EL CAMINO REAL
MOUNTAIN VIEW, CA 94040

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 Peninsula Eye Surgery Center LLC's NPI number?

The NPI number for Peninsula Eye Surgery Center LLC is 1770652216. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Peninsula Eye Surgery Center LLC located?

Peninsula Eye Surgery Center LLC is located at 1128 W El Camino Real, Mountain View, CA 94040. The listed phone number is (650) 964-3200.

What is Peninsula Eye Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ophthalmologic Surgery, with taxonomy code 261QS0132X.

Does Peninsula Eye Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1043905) is associated with this NPI, valid through August 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Peninsula Eye Surgery Center LLC was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.