Peter Hodson Custis in San Diego - Ophthalmology
Peter Hodson Custis - NPI 1144397076
Peter Hodson Custis is a Ophthalmology in San Diego, California. Peter Hodson Custis practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Peter Hodson Custis is 1144397076. The last update date is 2021-12-03.
Peter Hodson Custis's current location address is 4647 Zion Ave, San Diego, California. You can contact this provider via phone number 6195285000. The mailing address for Peter Hodson Custis is 4647 Zion Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Hodson Custis |
|---|---|
| Address | 4647 Zion Ave, San Diego, California |
| Phone Number | 6195285000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144397076 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2021-12-03 |
Provider Mailing Address Detail
| Address | 4647 Zion Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921202507 |
| Phone Number | 6195285000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | G57044 |
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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 incl |
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What is the unique provider identifier assigned to Peter Hodson Custis?
The Peter Hodson Custis has been issued the NPI (National Provider Identifier) 1144397076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Peter Hodson Custis?
The Peter Hodson Custis is physically situated at 4647 Zion Ave, in the city of San Diego, state of CA, with the postal code 921202507.
What is Peter Hodson Custis's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Peter Hodson Custis is Ophthalmology, and the taxonomy classification code that categorizes this area of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144397076 to Peter Hodson Custis?
The Centers for Medicare & Medicaid Services originally issued the 1144397076 to Peter Hodson Custis on 2006-11-29.
As of what date were the Peter Hodson Custis's details last updated?
The information pertaining to the Peter Hodson Custis, including its address, specialty, and other details, was most recently updated on 2021-12-03.
NPI Number: 1841293149
Address: Po Box 40908, Fayetteville, NC