EYECARE SPECIALISTS MEDICAL GROUP (NPI# 1902837941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902837941 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP |
| Other Organization Name | ATLANTIS EYECARE |
| Practice Address |
5991 E Spring St Long Beach CA 90808-3752 |
| Mailing Address |
7677 Center Ave Suite 301 Huntington Beach CA 92647-3074 |
| Practice Telephone | 5629389945 |
| Practice Fax Number | 5624960433 |
| Mailing Telephone | 7149012004 |
| Mailing Fax Number | 7149012003 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DWAYNE KEITH LOGAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 7149012004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G68583 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Atlantis Eyecare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598995144 | Eyecare Specialists Medical Group | Ophthalmology | 4950 Barranca Pkwy, Suite 304, Irvine, CA 92714 | 2009-07-16 |
| 1750551172 | Eyecare Specialists Medical Group | Optometrist | 7777 Edinger Ave, Suite 234, Huntington Beach, CA 92647-3601 | 2008-03-03 |
| 1598979148 | Eyecare Specialists Medical Group | Optometrist | 26730 Towne Centre Dr, 204, Foothill Ranch, CA 92610-2842 | 2007-05-10 |
| 1750314381 | Eyecare Specialists Medical Group | Ophthalmology | 236 W College St, Covina, CA 91723-1902 | 2006-07-08 |
| 1881626398 | Eyecare Specialists Medical Group | Optometrist | 9940 Talbert Ave, Fountain Valley, CA 92708-5153 | 2006-07-07 |
| 1255363784 | Eyecare Specialists Medical Group | Optometrist | 8311 Florence Ave, Downey, CA 90240-3928 | 2006-07-07 |
| Street Address |
5991 E SPRING ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90808-3752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063874139 | Myles Isaac Brookman | Ophthalmology | 5991 E Spring St, Long Beach, CA 90808-3752 | 2016-03-28 |
| 1669785069 | Mailan Tran | Optometrist | 5991 E Spring St, Long Beach, CA 90808-3752 | 2010-07-14 |
| 1164520714 | Dwayne Keith Logan | Ophthalmology | 5991 E Spring St, Long Beach, CA 90808-3752 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629558713 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 3828 Schaufele Ave Ste 320, Long Beach, CA 90808 | 2018-08-17 |
| 1376072710 | Premiere Cottages Inc. | Assisted Living Facility | 4815 Premiere Ave, Long Beach, CA 90808 | 2017-06-08 |
| 1760911184 | Collaborative Partners for Success, LLC | Speech-Language Pathologist | 3472 Tulane Avenue, Long Beach, CA 90808 | 2017-06-08 |
| 1942658604 | Susan S Orr | Physical Therapist | 3833 Worsham Ave #301, Long Beach, CA 90808 | 2016-06-02 |
| 1447611298 | Rac Brittany House | Alzheimer Center (Dementia Center) | 5641 Centralia Avenue, Long Beach, CA 90808 | 2016-03-08 |
| 1003234261 | Ray Ira Apter | Social Worker | 4333 N. Greenbrier Road, Long Beach, CA 90808 | 2014-04-03 |
| 1043590649 | Fonda Jiang | Allergy & Immunology | 3816 Woodruff Ave Ste 209, Long Beach, CA 90808 | 2011-08-26 |
| 1457640757 | Alexander Cristian Gavrila | Dentist | 4200 Lakewood Blvd, Long Beach, CA 90808 | 2011-04-07 |
| 1851629034 | Reyana Ewing | Dietitian, Registered | 4195 N Viking Way Ste D, Long Beach, CA 90808 | 2009-11-25 |
| 1548497597 | Veronika Lee Hoover | Social Worker | 4195 N. Viking Way, Suite F, Long Beach, CA 90808 | 2009-06-17 |
| Find all providers in zip 90808 | ||||
| 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 |
|---|---|---|---|---|
| 1649565920 | Morgan E Renner | Ophthalmology | 3816 Woodruff Ave Ste 100, Long Beach, CA 90808-2145 | 2011-06-14 |
| 1891026969 | Eye Treatment Center, An Incorporated Medical Group, Inc | Ophthalmology | 1150 E 4th St, Long Beach Senior Center, Long Beach, CA 90802-1735 | 2010-01-28 |
| 1851620959 | Rmg, Apc | Ophthalmology | 5471 E The Toledo, Long Beach, CA 90803-3953 | 2009-12-18 |
| 1619165446 | Hertzog Eye Associates A Medical Corporation | Ophthalmology | 5094 E Los Coyotes Diagonal, Long Beach, CA 90815-2839 | 2007-10-05 |
| 1053514166 | Houck Eye Care and Refractive Surgery Center, PC | Ophthalmology | 2940 Mount Clair Way, Long Beach, IN 46360-1769 | 2007-06-06 |
| 1396840708 | Bruce A Fastenberg | Ophthalmology | 260 West Broadway, Suite 6f, Long Beach, NY 11561 | 2006-09-13 |
| 1710093083 | Carlos Enrique Martinez | Ophthalmology | 3325 Palo Verde Avenue, Suite 103, Long Beach, CA 90808-4132 | 2006-08-21 |
| 1508897893 | H L Sulit Medical Professional Corp | Ophthalmology | 825 Pacific Ave, Long Beach, CA 90813-4225 | 2006-07-05 |
| 1104827591 | Herbert C Henken | Ophthalmology | 511 E Park Ave, Long Beach, NY 11561-3741 | 2005-08-09 |
| 1568468106 | Stephen Andrew Wigginton | Ophthalmology | 709 E Anaheim St, Long Beach, CA 90813-3507 | 2005-06-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90808 |
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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.