Eyedentity Vision Optometry, Inc.
NPI 1255514642 · Clinic/Center · San Francisco, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eyedentity Vision Optometry, Inc. is a Clinic/Center organization in San Francisco, CA (NPI 1255514642).
Provider details
- NPI number
- 1255514642
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carrie Lee, President(415) 334-2020
- License
- 12604 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Eyedentity Vision Optometry
- Doing business as
- Eyedentity Vision Optometry
Additional practice locations (1)
- 601 Gateway Blvd Ste 220South San Francisco, CA 94080-7400Phone: (650) 871-9200Fax: (650) 871-6026
Registry dates
- Enumerated
- 2007-12-09
- Last updated
- 2021-10-11
- Certified
- 2021-10-11
Frequently asked questions
- What is Eyedentity Vision Optometry, Inc.'s NPI number?
- Eyedentity Vision Optometry, Inc.'s National Provider Identifier (NPI) is 1255514642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eyedentity Vision Optometry, Inc.?
- Eyedentity Vision Optometry, Inc. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Eyedentity Vision Optometry, Inc. located?
- Eyedentity Vision Optometry, Inc.'s practice location on file with NPPES is 2786 Diamond St, San Francisco, CA 94131-3057.
- What is Eyedentity Vision Optometry, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Eyedentity Vision Optometry, Inc. is (415) 334-2020.
- Does Eyedentity Vision Optometry, Inc. accept Medicare?
- Eyedentity Vision Optometry, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Eyedentity Vision Optometry, Inc.?
- The authorized official listed on Eyedentity Vision Optometry, Inc.'s NPPES record is Carrie Lee, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eyedentity Vision Optometry, Inc.'s NPI active?
- Yes — Eyedentity Vision Optometry, Inc.'s NPI (1255514642) is active in the NPPES registry as of the last update on 2021-10-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.