SAN DIEGO EYELID SPECIALISTS, INC. (NPI# 1124485784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124485784 |
| Entity Type | Organization |
| Organization Name | SAN DIEGO EYELID SPECIALISTS, INC. |
| Practice Address |
477 N El Camino Real A304 Encinitas CA 92024-1328 |
| Practice Telephone | 8584322700 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-09-23 |
| Authorized Official Name | SRINIVAS IYENGAR (MANAGING PARTNER) |
| Authorized Official Telephone | 7604569462 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A105824 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
477 N EL CAMINO REAL A304 |
| City | ENCINITAS |
| State | CA |
| Zip Code | 92024-1328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581183 | North County Radiation Oncology | Specialist | 477 N El Camino Real, Ste D100, Encinitas, CA 92024-1328 | 2005-07-09 |
| 1184238933 | Epilepsy Rheumatology and Arthritis Specialty Wellness Center PC | Psychiatry & Neurology | 477 N El Camino Real, Ste C208, Encinitas, CA 92024-1332 | 2020-08-31 |
| 1790253631 | Lacy Lofties | Nurse Practitioner | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2018-11-08 |
| 1194243212 | Stephen Andrew Rivera | Physician Assistant | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-09-08 |
| 1922539865 | Michael Dennis Hadley | Family Medicine | 477 N El Camino Real, Encinitas, CA 92024-1328 | 2017-03-22 |
| 1922553908 | Shannon D Stadelmann | Nurse Practitioner | 477 N El Camino Real, Suite 208a, Encinitas, CA 92024-1328 | 2016-08-19 |
| 1174077507 | Cortney Franz | Nurse Practitioner | 477 N El Camino Real, Suite D200, Encinitas, CA 92024-1328 | 2016-08-15 |
| 1306297072 | Mary K. Tucker | Physician Assistant | 477 N El Camino Real, Encinitas, CA 92024 | 2016-06-23 |
| 1093163032 | Jennifer Price | Physician Assistant | 477 N El Camino Real, Suite A202, Encinitas, CA 92024-1328 | 2016-05-31 |
| 1770953960 | Regents of The University of Ca | Clinic/Center | 477 N El Camino Real, Suite A306, Encinitas, CA 92024-1328 | 2015-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326688672 | Erika S Roark | Nurse Practitioner | 754 Bonita Drive, Encinitas, CA 92024 | 2020-01-14 |
| 1871064279 | Elana Miller | Physical Therapist | 285 N El Camino Real Ste 202, Encinitas, CA 92024 | 2018-12-10 |
| 1811478654 | Aton Center, Inc. | Substance Abuse Rehabilitation Facility | 3238 Country Rose Cir, Encinitas, CA 92024 | 2018-08-28 |
| 1124508296 | Hardison Medical Corporation | Family Medicine | 2210 Encinitas Blvd Ste N, Encinitas, CA 92024 | 2018-08-18 |
| 1326544990 | Jamin Sarah Sylvada | Midwife | 1141 Balour Drive, Encinitas, CA 92024 | 2018-04-03 |
| 1457856445 | Stephanie Yarnell | Optometrist | 385 Via Montanosa, Encinitas, CA 92024 | 2018-03-29 |
| 1972002954 | J Schaefer Dds Inc | Clinic/Center | 355 Santa Fe Drive Suite 100, Encinitas, CA 92024 | 2018-02-06 |
| 1538691654 | Dr. James C. Lajevic D.m.d. Correct Choice Dental | Point of Service | 199 N El Camino Real Blvd, Suite E, Encinitas, CA 92024 | 2017-03-29 |
| 1649720566 | Marcia A. Rebelo | Social Worker | 187 Calle Magdalena Ste 114, Encinitas, CA 92024 | 2016-10-04 |
| 1346698529 | Jordan Anne Pinozek | Optometrist | 1044b N El Camino Real, Encinitas, CA 92024 | 2016-05-29 |
| Find all providers in zip 92024 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522319 | Retina San Diego | Ophthalmology | 477 N El Camino Real Ste C302, Encinitas, CA 92024-1354 | 2015-03-12 |
| 1649320292 | Richard Kemp Massengill | Ophthalmology | 664 Hymettus Ave, Encinitas, CA 92024-2603 | 2007-01-12 |
| 1588924849 | Ehsan Mozayan-isfahani | Ophthalmology | 477 N El Camino Real, Ste C302, Encinitas, CA 92024-1354 | 2012-05-21 |
| 1093948176 | Arash Mozayan Isfahani | Ophthalmology | 477 N El Camino Real, Suite 302, Encinitas, CA 92024-1328 | 2009-08-24 |
| 1558549303 | Michelle Crosby | Ophthalmology | 477 N El Camino Real Ste C202, Encinitas, CA 92024-1332 | 2008-02-04 |
| 1588856702 | Stephen Kirk Schaller | Ophthalmology | 2240 Encinitas Blvd, D402, Encinitas, CA 92024-4345 | 2007-08-11 |
| 1104030055 | Srinivas Iyengar | Ophthalmology | 477 N El Camino Real, C-308, Encinitas, CA 92024-1328 | 2007-05-10 |
| 1245387471 | Kaestner Medical Corporation | Ophthalmology | 477 N El Camino Real, C-308, Encinitas, CA 92024-1328 | 2007-01-03 |
| 1467519470 | Eye Care Solutions Inc | Ophthalmology | 477 N El Camino Real, C202, Encinitas, CA 92024 | 2007-01-02 |
| 1184723728 | Joan H Kaestner | Ophthalmology | 477 N El Camino Real, C-308, Encinitas, CA 92024 | 2006-09-21 |
| Find all providers in ENCINITAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.