SAN DIEGO EYECOR, LLC
NPI 1922027176
Clinic/Center - Ambulatory Surgical in San Diego, CA

Active since July 19, 2006
3939 3RD AVE, SAN DIEGO, CA 92103(619) 296-8525(619) 692-0229 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2026, Feb 14, 2025, Dec 6, 2022 (3 updates tracked since 2022).

About San Diego Eyecor, Llc NPPES

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

SAN DIEGO EYECOR, LLC (NPI 1922027176) is a healthcare organization registered as an ambulatory surgical in San Diego, California and active in the NPI registry since July 2006. The organization lists Clifton Chad Bazhaw, Chief Revinue Officer, as its authorized official.

NPPES Registry Identity

NPI1922027176
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSAN DIEGO EYECOR, LLC
Location Address3939 3RD AVESan Diego, CA 92103-3002
Mailing Address3939 3rd AveSan Diego, CA 92103-3002 · (800) 765-2737 · Fax (619) 291-6577
Fax(619) 692-0229
Organization SubpartNo
Authorized OfficialClifton Chad BazhawChief Revinue Officer · (214) 893-0471
Enumeration DateJuly 19, 2006
Last NPPES UpdateMarch 2, 20263 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1922027176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3939 3RD AVE, San Diego, CA 92103

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Diego Eyecor, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120111000087Non-DME Part B · Ambulatory Surgical CenterDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 6

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.
139 services106 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.
45 services42 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.
25 services23 patients
Transplantation of outer layer of corneal tissue 65756
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.
17 services17 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
17 services16 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.
15 services14 patients

Other Providers at the Same Location NPPES 10

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

Ophthalmology
3939 3RD AVE
SAN DIEGO, CA 92103
Optometrist
3939 3RD AVE
SAN DIEGO, CA 92103
Eyewear Supplier
3939 3RD AVE
SAN DIEGO, CA 92103
Ophthalmology
3939 3RD AVE
SAN DIEGO, CA 92103
Ophthalmology
3939 3RD AVE
SAN DIEGO, CA 92103
Ophthalmology
3939 3RD AVE
SAN DIEGO, CA 92103
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
3939 3RD AVE
SAN DIEGO, CA 92103
Optometrist
3939 3RD AVE
SAN DIEGO, CA 92103

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 San Diego Eyecor, LLC's NPI number?

The NPI number for San Diego Eyecor, LLC is 1922027176. It was assigned to this organization in the NPPES registry on July 19, 2006.

Where is San Diego Eyecor, LLC located?

San Diego Eyecor, LLC is located at 3939 3rd Ave, San Diego, CA 92103. The listed phone number is (619) 296-8525.

What is San Diego Eyecor, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is San Diego Eyecor, LLC enrolled in Medicare?

Yes. San Diego Eyecor, LLC is registered in the Medicare PECOS enrollment system.

When is San Diego Eyecor, LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Ambulatory Surgical Center) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for San Diego Eyecor, LLC was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.