EYECARE SPECIALISTS MEDICAL GROUP, INC (NPI# 1811462542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811462542 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP, INC |
| Practice Address |
5120 W Goldleaf Cir Ste 20 Los Angeles CA 90056-1292 |
| Mailing Address |
1595 E 17th St Santa Ana CA 92705-8506 |
| Practice Telephone | 7143990678 |
| Mailing Telephone | 7143990678 |
| Mailing Fax Number | 7142766489 |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |
| Authorized Official Name | PATRICIA NAVARRO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7143990678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Atlantis Eyecare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1528162690 | Eyecare Specialists Medical Group, Inc | Optometrist | 5991 E. Spring St., Long Beach, CA 90808 | 2006-09-11 |
| 1437181930 | Eyecare Specialists Medical Group, Inc | Optometrist | 947 S. Anaheim Blvd, Suite 120, Anaheim, CA 92805-5590 | 2006-07-07 |
| 1346858537 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 44651 Village Ct Ste 102, Palm Desert, CA 92260-3821 | 2020-07-14 |
| 1750909065 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 81893 Dr Carreon Blvd, Indio, CA 92201-0604 | 2020-07-13 |
| 1871057786 | Eyecare Specialists Medical Group, Inc | Clinic/Center | 229 E Beverly Blvd, Montebello, CA 90640-3776 | 2019-01-24 |
| 1407328420 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 229 E Beverly Blvd, Montebello, CA 90640-3776 | 2019-01-02 |
| Street Address |
5120 W GOLDLEAF CIR STE 20 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90056-1292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255588026 | Miriam Gutierrez | Psychologist | 5110 W. Goldleaf Circle, Los Angeles, CA 90056 | 2008-08-25 |
| 1699800136 | Burl Roddy Moore | Social Worker | 5317 Corning Ave., Los Angeles, CA 90056 | 2007-02-23 |
| 1821462722 | Daniela Covel Zanich | Social Worker | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2015-11-16 |
| 1467652727 | Melissa Lowry Tran | Marriage & Family Therapist | 5105 W Goldleaf Cir, Los Angeles, CA 90056 | 2007-07-24 |
| 1821204058 | Thc - Orange County, LLC | General Practice | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2007-05-15 |
| 1447335146 | Thc - Orange County, LLC | Long Term Care Hospital | 5525 W Slauson Ave, Los Angeles, CA 90056 | 2006-10-25 |
| 1033390463 | Phillip Gordon Mckinley | Emergency Medicine | 5219 Reynier Ave, Los Angeles, CA 90056-1018 | 2007-11-14 |
| 1508852518 | William Robert Reeve | Pharmacist | 5231 Senford Ave, Los Angeles, CA 90056-1024 | 2005-09-25 |
| 1417083791 | James L Meltzer | Internal Medicine | 5525 West Flauson Ave Kindred Hospital, Los Angeles, CA 90056-1047 | 2007-02-23 |
| 1952363012 | Glenview Pathology Medical Group | Pathology | 5525 W Slauson Ave, Los Angeles, CA 90056-1047 | 2006-04-04 |
| Find all providers in zip 90056 | ||||
| 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 |
|---|---|---|---|---|
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1770048266 | Luxi Optometry, Inc | Ophthalmology | 3250 W. Olympic Blvd #221, Los Angeles, CA 90006 | 2019-02-08 |
| 1598238784 | Stanley S Kim Md, Inc | Ophthalmology | 3663 W 6th St Ste 200, Los Angeles, CA 90020-3048 | 2019-01-10 |
| 1386132744 | Masket Foundation Clinic for Eye Care | Ophthalmology | 2080 Century Park E Ste 911, Los Angeles, CA 90067-2012 | 2018-05-01 |
| 1922501154 | Maloney-shamie Vision Institute | Ophthalmology | 10921 Wilshire Blvd Ste 900, Los Angeles, CA 90024-4003 | 2018-03-14 |
| 1417484213 | Julie You Kwon Md Inc | Ophthalmology | 932 S Cloverdale Ave, Los Angeles, CA 90036-4817 | 2017-05-11 |
| 1932581642 | Eric Shieh | Ophthalmology | 100 Stein Plz Rm 2-132, Los Angeles, CA 90095-7065 | 2015-06-18 |
| 1275950115 | Daniel Lemor | Ophthalmology | 4036 Whittier Blvd Ste 202, Los Angeles, CA 90023 | 2014-03-27 |
| 1659705705 | Martin James Brickman | Ophthalmology | 2531 Mount Beacon Ter, Los Angeles, CA 90068-2444 | 2013-08-26 |
| 1952745473 | Christopher Chuomond Lo | Ophthalmology | 1513 S Grand Ave Ste 200, Los Angeles, CA 90015-3075 | 2013-04-26 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90056 |
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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.