EASTLAKE LASER EYE ASSOCIATES (NPI# 1629152814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629152814 |
| Entity Type | Organization |
| Organization Name | EASTLAKE LASER EYE ASSOCIATES |
| Practice Address |
890 Eastlake Parkway Suite 205 Chula Vista CA 91914 |
| Practice Telephone | 6192160400 |
| Practice Fax Number | 6192160440 |
| Mailing Telephone | 6192160400 |
| Mailing Fax Number | 6192160440 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RICHARD STEVEN SABLE (MEMBER) |
| Authorized Official Telephone | 6192160400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1700X |
Technician/Technologist Specialization: Ocularist |
G56599 | CA | Eye and Vision Services Providers |
| Street Address |
890 EASTLAKE PARKWAY SUITE 205 |
| City | CHULA VISTA |
| State | CA |
| Zip Code | 91914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417916107 | Pamela Velasco Atienza | Pediatrics | 890 Eastlake Parkway, Suite 200, Chula Vista, CA 91914 | 2006-03-21 |
| 1750599346 | David Bryan Littlefield | Dentist | 890 Eastlake Parkway, Suite 300, Chula Vista, CA 91914-1209 | 2007-05-18 |
| 1922210541 | Eric Bryan Barajas | Dentist | 890 Eastlake Parkway, Suite 304, Chula Vista, CA 91914 | 2007-05-04 |
| 1003991266 | Federico G Drachenberg | Dentist | 890 Eastlake Parkway, Ste 101, Chula Vista, CA 91914 | 2006-10-26 |
| 1962455394 | Results Rehab Eastlake, Inc. | Physical Therapist | 890 Eastlake Parkway, Suite 307, Chula Vista, CA 91914 | 2006-05-18 |
| 1134172448 | Victoria Ramos Oira | Specialist | 890 Eastlake Parkway, Suite 203, Chula Vista, CA 91914 | 2006-05-18 |
| 1568412542 | Pamela V. Atienza, Md, Apmc | Pediatrics | 890 Eastlake Parkway, Suite 200, Chula Vista, CA 91914 | 2006-05-11 |
| 1982662193 | Ferdinand Figuracion Barbadillo | Pediatrics | 890 Eastlake Parkway, Suite 200, Chula Vista, CA 91914 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447785811 | Tania Marie Beaudoin | Social Worker | 2580 Catamaran Way Ste 103, Chula Vista, CA 91914 | 2017-04-24 |
| 1477090447 | Leaha Elrod | Speech-Language Pathologist | 2985 Stevenson Ranch Ct, Chula Vista, CA 91914 | 2017-01-27 |
| 1205382934 | Jessica Lexanne Morris | Occupational Therapy Assistant | 861 Harold Pl, Chula Vista, Chula Vista, CA 91914 | 2016-09-01 |
| 1821457169 | Eagles Wings Home Care Inc. | Clinic/Center | 2529 Saddlehorn Dr., Chula Vista, CA 91914 | 2016-02-15 |
| 1609217355 | Joanna Sarao Songcuan | Marriage & Family Therapist | 2400 Fenton St Ste 217, Chula Vista, CA 91914 | 2013-07-10 |
| 1891043477 | Deanna Risos Dmd,pc. | Dentist | 841 Kuhn Dr. Ste # 102, Chula Vista, CA 91914 | 2012-08-29 |
| 1417262718 | Lisa Alvarez | Nurse Practitioner | 891 Bryce Ave, Chula Vista, CA 91914 | 2010-08-11 |
| 1164669123 | Guadalupe Marquez | Dentist | 2452 Fenton St Ste 200, Chula Vista, CA 91914 | 2009-01-13 |
| 1750537379 | Christina Marie Morris | Registered Nurse | 595 Northbrook Ave., Chula Vista, CA 91914 | 2008-08-14 |
| 1114113008 | Adrian Avila | Marriage & Family Therapist | 2560 Catamaran Way, Chula Vista, CA 91914 | 2007-09-24 |
| Find all providers in zip 91914 | ||||
| Taxonomy Code | 156FX1700X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ocularist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881158210 | Integrated Ocular Prosthetics | Technician/Technologist | 11419 N Fowler Ave, Clovis, CA 93619-9544 | 2019-01-30 |
| 1144795105 | Integrated Ocular Prosthetics Inc | Technician/Technologist | 1324 W. Center Ave, Visalia, CA 93291-5804 | 2018-10-05 |
| 1588139547 | Integrated Ocular Prosthetics Inc | Technician/Technologist | 5340 Elvas Ave Ste 700, Sacramento, CA 95819-2380 | 2018-10-05 |
| 1912404609 | Erik Kolberg | Technician/Technologist | 9663 Tierra Grande St Ste 201, San Diego, CA 92126-4570 | 2018-04-09 |
| 1841321478 | John A Kennedy | Technician/Technologist | 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 | 2007-03-07 |
| 1154498723 | Steven R Young | Technician/Technologist | 411 30th Street, Ste 512, Oakland, CA 94609-3303 | 2006-11-29 |
| 1144304544 | Daniel T. Acosta | Technician/Technologist | 635 C St, Apt. 502, San Diego, CA 92101-5381 | 2006-10-24 |
| 1962977926 | Integrated Ocular Prosthetics Inc | Technician/Technologist | 700 Cass St Ste 126, Monterey, CA 93940-2921 | 2018-10-05 |
| 1609356898 | Dylan Bond | Technician/Technologist | 1736 Professional Dr, Sacramento, CA 95825-2105 | 2018-08-16 |
| 1023500485 | Antonio Louis Alcorta I | Technician/Technologist | 1324 W Center Ave, Visalia, CA 93291 | 2018-06-01 |
| Find all providers with the same taxonomy | ||||
| City | CHULA VISTA |
| Zip Code | 91914 |
Please comment or provide details below to improve the information on EASTLAKE LASER EYE ASSOCIATES.
| 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.