DR. ANDREW CHURCH BALFOUR (NPI# 1902819568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902819568 |
| Entity Type | Individual |
| Full Name | DR. ANDREW CHURCH BALFOUR |
| Credential | O.D. |
| Practice Address |
555 S Broadway Los Angeles CA 90013-2301 |
| Practice Telephone | 2136275911 |
| Practice Fax Number | 2136228048 |
| Mailing Telephone | 2136275911 |
| Mailing Fax Number | 2136228048 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 6862T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0068620 | 05 |
| Street Address |
555 S BROADWAY |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90013-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144212531 | Robert Lloyd Shapiro | Optometrist | 555 S Broadway, Los Angeles, CA 90013-2301 | 2005-08-22 |
| 1740357698 | Andrew Balfour & Robert Shapiro | Optometrist | 555 S Broadway, Los Angeles, CA 90013-2301 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013470327 | Mia Rashap | Technician, Other | 555 W 5th St, Los Angeles, CA 90013 | 2019-04-12 |
| 1992263941 | Shiane Lyana Ferretti | Technician, Other | 555 West 5th Street, Los Angeles, CA 90013 | 2019-03-08 |
| 1629567060 | Dtla Med | Clinic/Center | 431 S Hewitt St Ste B, Los Angeles, CA 90013 | 2018-05-01 |
| 1386150886 | Abel Joseph Apodaca Jr. | Counselor | 512 East 4th Street, Los Angeles, CA 90013 | 2017-12-19 |
| 1578075560 | Anthony Perez | Case Manager/Care Coordinator | 522 S San Pedro, Los Angeles, CA 90013 | 2017-10-30 |
| 1740724574 | Royalty Group Services Inc | Clinic/Center | 555 West Fifth Street 31st Floor, Los Angeles, CA 90013 | 2016-12-13 |
| 1275930877 | Araceli Zuniga | Rehabilitation Practitioner | 640 South Maple Avenue, Los Angeles, CA 90013 | 2014-11-25 |
| 1558785956 | Carlos Mejia | Counselor | 470 E. 3rd St., Los Angeles, CA 90013 | 2014-02-06 |
| 1679908081 | Troy Gabrielson | Counselor | 470 E. 3rd Street, Suite C, Los Angeles, CA 90013 | 2013-09-05 |
| 1417298753 | Pierre Houbein | Physician Assistant | 311 Winston St., Los Angeles, CA 90013 | 2013-03-12 |
| Find all providers in zip 90013 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| 1467064766 | Quynh Trang Diep | Optometrist | 222 S Central Ave Apt 400, Los Angeles, CA 90012-4231 | 2020-08-18 |
| 1114547619 | Eyecare Specialists Medical Group, Inc. | Optometrist | 1711 W Temple St Ste 5665, Los Angeles, CA 90026-5421 | 2020-04-24 |
| 1487283362 | Daisy Lee Spearman | Optometrist | 5136 W Slauson Ave, Los Angeles, CA 90056-1641 | 2020-04-03 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1841837242 | Hollywood Optometrist | Optometrist | 1300 N Vermont Ave Ste 703, Los Angeles, CA 90027-6089 | 2019-12-04 |
| 1770124570 | Manchester Optometry Eye Care | Optometrist | 10024 S Vermont Ave Ste 2, Los Angeles, CA 90044-3112 | 2019-10-02 |
| 1124588165 | Evelynne Chavez | Optometrist | 11301 Wilshire Blvd Bldg 304, Los Angeles, CA 90073-1003 | 2019-03-25 |
| 1467929265 | Galina Vardanyan | Optometrist | 621 S Western Ave Ste 214, Los Angeles, CA 90005 | 2018-10-30 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90013 |
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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.