CLAREMONT EYE ASSOCIATES MEDICAL GROUP (NPI# 1306003389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306003389 |
| Entity Type | Organization |
| Organization Name | CLAREMONT EYE ASSOCIATES MEDICAL GROUP |
| Practice Address |
655 E Foothill Blvd Claremont CA 91711-3511 |
| Practice Telephone | 9096248077 |
| Practice Fax Number | 9096241467 |
| Mailing Telephone | 9096248077 |
| Mailing Fax Number | 9096241467 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2008-05-19 |
| Authorized Official Name | DR. JOHN J MCDERMOTT III (GENERAL PARTNER) |
| Authorized Official Telephone | 9096248077 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 4172332 | 05 | |
| CA | 1438533 | 05 |
| Street Address |
655 E FOOTHILL BLVD |
| City | CLAREMONT |
| State | CA |
| Zip Code | 91711-3511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366533978 | John J Mcdermott IIi | Ophthalmology | 655 E Foothill Blvd, Claremont, CA 91711-3511 | 2006-09-27 |
| 1346426293 | Anil M Shivaram | Ophthalmology | 655 E Foothill Blvd, Claremont, CA 91711-3511 | 2008-01-10 |
| 1588750061 | Marjorie A Parker | Ophthalmology | 655 E Foothill Blvd, Claremont, CA 91711 | 2006-10-04 |
| 1942393566 | Sunil M Shivaram | Ophthalmology | 655 E Foothill Blvd, Claremont, CA 91711 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919132 | Suzanne Kathryn Wen | Physical Therapist | 224 North Indian Hill Bvld, Claremont, CA 91711 | 2019-12-16 |
| 1336790690 | Angelita M Sherzada | Social Worker | 250 W. First Street, 242, Claremont, CA 91711 | 2019-09-26 |
| 1629560602 | Patricia L Sellers | Marriage & Family Therapist | 220 S Indian Hill Boulevard, Suite E, Claremont, CA 91711 | 2018-06-05 |
| 1477078418 | Geiselia Thomas | Chore Provider | 519 Martin Way, Claremont, CA 91711 | 2017-08-10 |
| 1750804464 | Vasudavan Govindasamy | Speech-Language Pathologist | 1490 North Claremont Blvd Suite 101, Claremont, CA 91711 | 2017-07-25 |
| 1669850103 | Drpaulolivera | Dentist | 450wsanjose, Claremont, CA 91711 | 2015-05-18 |
| 1003204504 | Alexandra Jordan Bandy | Nurse Practitioner | 530 W. Bonita Ave, Claremont, CA 91711 | 2015-01-06 |
| 1437571379 | Susan Clayton Zylstra | Speech-Language Pathologist | 842 Knox Place, Claremont, CA 91711 | 2014-01-13 |
| 1255671053 | Misty Anne Rogers | Acupuncturist | 689 W. Foothill Blvd., Suite D, Claremont, CA 91711 | 2013-02-15 |
| 1629364161 | Lu Tian | Acupuncturist | 250 W. First Street #112, Claremont, CA 91711 | 2011-06-23 |
| Find all providers in zip 91711 | ||||
| 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 |
|---|---|---|---|---|
| 1366533978 | John J Mcdermott IIi | Ophthalmology | 655 E Foothill Blvd, Claremont, CA 91711-3511 | 2006-09-27 |
| 1841231735 | Carol F. Boerner | Ophthalmology | 130 Pleasant St, Claremont, NH 03743-3628 | 2006-06-09 |
| 1346426293 | Anil M Shivaram | Ophthalmology | 655 E Foothill Blvd, Claremont, CA 91711-3511 | 2008-01-10 |
| 1588750061 | Marjorie A Parker | Ophthalmology | 655 E Foothill Blvd, Claremont, CA 91711 | 2006-10-04 |
| 1942393566 | Sunil M Shivaram | Ophthalmology | 655 E Foothill Blvd, Claremont, CA 91711 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790922 | Paul B Kouyoumjian, Md Inc. | Ophthalmology | 18040 Sherman Way Ste 205, Reseda, CA 91335-4631 | 2020-11-04 |
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1588274724 | Katerina Kurteeva Md Inc | Ophthalmology | 3140 Bear St Ste 100, Costa Mesa, CA 92626-2964 | 2020-08-03 |
| 1285252502 | Eyecare Specialists Medical Group, Inc | Ophthalmology | 58-471 29 Palms Hwy, Yucca Valley, CA 92284-5818 | 2020-07-13 |
| 1407473754 | Janet K. Kim Md, Inc | Ophthalmology | 903 Crenshaw Blvd Ste 105, Los Angeles, CA 90019-1972 | 2020-07-02 |
| 1699392506 | Desert Ophthalmology Medical Corporation | Ophthalmology | 72650 Fred Waring Dr Ste 109, Palm Desert, CA 92260-5008 | 2020-06-26 |
| 1942821566 | Simon Eyes, Inc. | Ophthalmology | 3260 Beard Rd Ste 5, Napa, CA 94558-3466 | 2020-05-05 |
| 1942821905 | Nathan Abraham Md Vision Professionals Inc | Ophthalmology | 24305 Town Center Dr Ste 160, Valencia, CA 91355-1347 | 2020-04-30 |
| 1720609878 | Don Saul Ellis | Ophthalmology | 343 11th St, Del Mar, CA 92014-2607 | 2020-04-29 |
| 1245851534 | Santa Barbara Eyecare Inc., A Professional Medical Corporation | Ophthalmology | 2946 De La Vina St, Santa Barbara, CA 93105-3310 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
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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.