KINGS EYE CENTER MEDICAL GROUP, INC. (NPI# 1609920487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609920487 |
| Entity Type | Organization |
| Organization Name | KINGS EYE CENTER MEDICAL GROUP, INC. |
| Practice Address |
1395 W Lacey Blvd Hanford CA 93230-5904 |
| Practice Telephone | 5595853937 |
| Practice Fax Number | 5595823645 |
| Mailing Telephone | 5595853937 |
| Mailing Fax Number | 5595823645 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | MRS. LINDA J LEE-THOMAS (ADMIN) |
| Authorized Official Telephone | 5595853937 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DMERC | 4260620001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083694319 | Kings Eye Center Medical Group, Inc. | Clinic/Center | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2006-01-20 |
| 1730168931 | Kings Eye Center Medical Group, Inc. | Optometrist | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2006-01-16 |
| Street Address |
1395 W LACEY BLVD |
| City | HANFORD |
| State | CA |
| Zip Code | 93230-5904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104812346 | Ronald Stephen Keck | Optometrist | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2005-09-22 |
| 1922643584 | Nathan Panttaja | Optometrist | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2019-11-07 |
| 1609175165 | Cencal Anesthesia and Nursing Inc. | Nurse Anesthetist, Certified Registered | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2011-03-23 |
| 1912211699 | Jinyu Yang | Optometrist | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2010-08-04 |
| 1033386362 | Md Cyrus Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2008-05-15 |
| 1447338926 | Leo H. Kan | Ophthalmology | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2006-11-01 |
| 1083694319 | Kings Eye Center Medical Group, Inc. | Clinic/Center | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2006-01-20 |
| 1730168931 | Kings Eye Center Medical Group, Inc. | Optometrist | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2006-01-16 |
| 1821077165 | Bradley Austin Beard | Ophthalmology | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2006-01-13 |
| 1548249881 | Theresa Parker Poindexter | Ophthalmology | 1395 W Lacey Blvd, Hanford, CA 93230-5904 | 2006-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889518 | Jeremy Dane Baker | Hearing Instrument Specialist | 1413-b Bailey Dr., Hanford, CA 93230 | 2020-10-22 |
| 1891392643 | Matthew Thomas Williams | Physician Assistant | Adventist Health Hanford, 115 Mall Dr., Hanford, CA 93230 | 2020-10-05 |
| 1730795667 | Mercedes Zaragoza | Behavior Technician | 520 1ab, W. Lacey Blvd., Hanford, CA 93230 | 2020-09-16 |
| 1659989077 | Anmarie Torres | Behavior Technician | 520 1a&b W Lacey Blvd, Hanford, CA 93230 | 2020-07-22 |
| 1326506965 | Natalie Rodriguez Mejia | Marriage & Family Therapist | 1393 Bailey Drive St, Hanford, CA 93230 | 2019-03-02 |
| 1972094597 | Mariah Michelle Davila | Licensed Psychiatric Technician | 1529 W Sidonia St, Hanford, CA 93230 | 2018-05-21 |
| 1871011072 | Amanda Leann Perez | Counselor | 629 N. Irwin Street, Hanford, CA 93230 | 2017-09-07 |
| 1336667906 | Nicole Reyne Mcgowan | Case Manager/Care Coordinator | 700 N. Irwin Street, Hanford, CA 93230 | 2017-09-05 |
| 1932643251 | Diana Tran Nguyen | Midwife | 1122 N Harris St Ste 104, Hanford, CA 93230 | 2016-12-05 |
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| Find all providers in zip 93230 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770032997 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2395 E. Lacey Blvd, Hanford, CA 93230 | 2016-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902488 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 300 E Colorado Blvd Ste 128, Pasadena, CA 91101-2267 | 2020-11-02 |
| 1700485562 | Vision Faire Optometry, Inc. A Professional Optometric Corporation | Eyewear Supplier (Equipment, not the service) | 4213 Dale Rd Ste A-2, Modesto, CA 95356-8505 | 2020-10-22 |
| 1154929859 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5500 W Sunset Blvd, Los Angeles, CA 90028 | 2020-10-14 |
| 1295333029 | Tiger & Lion Inc | Eyewear Supplier (Equipment, not the service) | 1251 S Beach Blvd Ste F, La Habra, CA 90631-6397 | 2020-10-14 |
| 1245866565 | Joshua Adolfo Velasquez | Eyewear Supplier (Equipment, not the service) | 849 N Ridgewood Pl, Los Angeles, CA 90038-4302 | 2020-03-18 |
| 1952948424 | Luvc LLC | Eyewear Supplier (Equipment, not the service) | 2223 Carlton Ave, Pomona, CA 91768-1015 | 2019-12-04 |
| 1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
| 1184270746 | Nueyes Technologies Inc | Eyewear Supplier (Equipment, not the service) | 120 Newport Center Dr # 232, Newport Beach, CA 92660-6916 | 2019-08-09 |
| 1881248102 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 12182 1/2 Ventura Blvd, Studio City, CA 91604-2517 | 2019-07-25 |
| 1730732363 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1628 Redwood Hwy Spc D017, Corte Madera, CA 94925-1248 | 2019-07-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KINGS EYE CENTER MEDICAL GROUP, INC..
| 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.