EYECARE SPECIALISTS MEDICAL GROUP (NPI# 1255363784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255363784 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP |
| Other Organization Name | ATLANTIS EYECARE |
| Practice Address |
8311 Florence Ave Downey CA 90240-3928 |
| Mailing Address |
7677 Center Ave Suite 301 Huntington Beach CA 92647-3074 |
| Practice Telephone | 5626228100 |
| Practice Fax Number | 5626221800 |
| Mailing Telephone | 7149012004 |
| Mailing Fax Number | 7149012003 |
| Enumeration Date | 2006-07-07 |
| 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 | 152W00000X | Optometrist | U78810 | CA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Atlantis Eyecare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902837941 | Eyecare Specialists Medical Group | Ophthalmology | 5991 E Spring St, Long Beach, CA 90808-3752 | 2006-07-06 |
| 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 |
| Street Address |
8311 FLORENCE AVE |
| City | DOWNEY |
| State | CA |
| Zip Code | 90240-3928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992700603 | Dolores Barba | Internal Medicine | 8311 Florence Ave, Downey, CA 90240-3928 | 2005-06-17 |
| 1184140915 | Parisa Maryam Jalalat | Optometrist | 8311 Florence Ave, Downey, CA 90240-3928 | 2017-08-14 |
| 1144752825 | Brian Flores | Hearing Instrument Specialist | 8311 Florence Ave, Downey, CA 90240-3928 | 2017-03-31 |
| 1881045870 | Mary Nieraeth | Dietitian, Registered | 8311 Florence Ave, Downey, CA 90240-3928 | 2016-06-30 |
| 1447612361 | Kevin Urmaza | Family Medicine | 8311 Florence Ave, Downey, CA 90240-3928 | 2016-03-22 |
| 1932440674 | Rachel Noelle York | Physical Therapist | 8311 Florence Ave, Downey, CA 90240-3928 | 2013-03-05 |
| 1588916092 | Connect Hearing, Inc. | Audiologist | 8311 Florence Ave, Downey, CA 90240-3928 | 2012-10-08 |
| 1710156583 | Georgios Voulgaris | Physical Therapist | 8311 Florence Ave, Downey, CA 90240-3928 | 2008-02-26 |
| 1386822245 | Gregory Thomas Ochoa | General Practice | 8311 Florence Ave, Downey, CA 90240-3928 | 2008-02-03 |
| 1538237177 | Demetra Bastas-bratkic | Nurse Practitioner | 8311 Florence Ave, Downey, CA 90240-3928 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760944227 | Vida Wholeness Family Therapy | Social Worker | 8050 Florence Ave Ste 32, Downey, CA 90240 | 2019-04-03 |
| 1962992396 | Jillian Rose Stone | Physician Assistant | 8301 Florence Ave Ste 104, Downey, CA 90240 | 2018-05-10 |
| 1033643291 | Carmen Teresa Sanchez | Student in an Organized Health Care Education/Training Program | 8525 Paramount Blvd #222, Downey, CA 90240 | 2017-04-14 |
| 1316360969 | V. Charles Charuvastra, Md, Inc | Psychiatry & Neurology | 8301 Florence Ave Ste 304, Downey, CA 90240 | 2014-01-31 |
| 1689930596 | Center for Discovery & Adolescent Change | Psychiatric Residential Treatment Facility | 9844 Pangborn Avenue, Downey, CA 90240 | 2012-04-04 |
| 1003111386 | Maria Del Carmen Bernal | Marriage & Family Therapist | 9901 Paramount Blvd Suite 250, Downey, CA 90240 | 2011-01-18 |
| 1609060987 | Los Angeles County Department of Mental Health | Case Management | 8553 Raviller Drive, Downey, CA 90240 | 2007-08-30 |
| 1912190299 | Esther Alonso Rosario | General Practice | 7343 Hannon St, Downey, CA 90240 | 2007-08-21 |
| 1265550719 | Dawn Delgado | Marriage & Family Therapist | 9844 Pangborn Ave, Downey, CA 90240 | 2007-03-26 |
| 1659496701 | Green Nova Acupuncture Clinic | Acupuncturist | 9942 Lakewood Blvd, Downey, CA 90240 | 2007-03-20 |
| Find all providers in zip 90240 | ||||
| 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 |
|---|---|---|---|---|
| 1982848289 | Toseef Khan | Optometrist | 12911 Barlin Ave, Downey, CA 90242-4837 | 2009-04-30 |
| 1548413669 | Roshanak Nasr | Optometrist | 9418 Firestone Blvd, Downey, CA 90241-5504 | 2008-11-03 |
| 1366637415 | William Rogoway Od | Optometrist | 9418 E Firestone Blvd, Downey, CA 90241 | 2007-09-12 |
| 1518085208 | Milton Fader | Optometrist | 8331 Firestone Blvd, Downey, CA 90241-3841 | 2007-03-27 |
| 1417071440 | Brandon Lee Pykosz-sanchez | Optometrist | 405 Stonewood St, Downey, CA 90241-3919 | 2007-03-16 |
| 1417000795 | Cindy Nguyen Lee | Optometrist | 12148 Lakewood Blvd, Downey, CA 90242-2658 | 2007-01-19 |
| 1275684409 | Alan Neil Sands | Optometrist | 455 Stonewood St, Stonewood Mall, Downey, CA 90241-3919 | 2007-01-15 |
| 1639143894 | Anh Trinh | Optometrist | 10305 1/2 Lakewood Blvd, Downey, CA 90241-2743 | 2006-02-15 |
| 1467425223 | Jenny-quyen Bich Tiet | Optometrist | 10353 Lakewood Blvd, Downey, CA 90241-2743 | 2006-02-10 |
| 1659994549 | Elite Vision LLC | Optometrist | 9001 Apollo Way, Downey, CA 90242-4033 | 2020-05-26 |
| Find all providers in DOWNEY | ||||
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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.