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Contact Information

GOLDEN STATE EYE MEDICAL GROUP INC
6000 PHYSICIANS BLVD BUILDING D
SUITE 205
BAKERSFIELD, CA93301-5840
 Phone: 661-327-4499
 Fax: 661-327-4381
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Optician

156FX1800X 96[5] Optician
 

Optometrist

152W00000X 41 Optometry
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GOLDEN STATE EYE MEDICAL GROUP INC

NPI Number 1205847746
LBN Legal business name GOLDEN STATE EYE MEDICAL GROUP INC
Authorized official KHALED TAWANSY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 10/23/2025 - About 7 months ago
Identifiers
CA License # 13086T
CA License # G30637
CA Other 180012319 MEDICARE RAILROAD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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