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PENINSULA EYE MEDICAL GROUP
NPI 1780571877
Ophthalmology in Redwood City, CA

Active since June 20, 2025
1391 WOODSIDE RD STE 200, REDWOOD CITY, CA 94061(650) 324-0056 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Peninsula Eye Medical Group NPPES

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

PENINSULA EYE MEDICAL GROUP (NPI 1780571877) is a healthcare organization registered as an ophthalmology in Redwood City, California and active in the NPI registry since June 2025. The organization lists Judith Nevitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1780571877
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NamePENINSULA EYE MEDICAL GROUP
Location Address1391 WOODSIDE RD STE 200Redwood City, CA 94061-3574
Mailing Address1391 Woodside Rd Ste 200Redwood City, CA 94061-3574 · (650) 324-0056
Phone(650) 324-0056
Organization SubpartNo
Authorized OfficialJudith NevittOwner · (650) 324-0056
Enumeration DateJune 20, 2025
NPPES CertifiedJune 20, 2025
✔ NPI 1780571877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
1391 WOODSIDE RD STE 200, Redwood City, CA 94061
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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)

Peninsula Eye Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peninsula Eye Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Judith Nevitt, M.D.
Ophthalmology
NPI 1194816058
1391 WOODSIDE RD STE 200
Redwood City, CA 94061
(650) 260-1123
✔ PECOSSame address

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 Peninsula Eye Medical Group's NPI number?

The NPI number for Peninsula Eye Medical Group is 1780571877. It was assigned to this organization in the NPPES registry on June 20, 2025.

Where is Peninsula Eye Medical Group located?

Peninsula Eye Medical Group is located at 1391 Woodside Rd Ste 200, Redwood City, CA 94061. The listed phone number is (650) 324-0056.

What is Peninsula Eye Medical Group's specialty?

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

Is Peninsula Eye Medical Group enrolled in Medicare?

Yes. Peninsula Eye Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peninsula Eye Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Peninsula Eye 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Peninsula Eye Medical Group was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.