EYECARE SPECIALISTS MEDICAL GROUP, INC. (NPI# 1487762159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487762159 |
Entity Type | Organization |
Organization Name | EYECARE SPECIALISTS MEDICAL GROUP, INC. |
Other Organization Name | ATLANTIS EYECARE |
Practice Address |
23521 Paseo De Valencia Suite 305 Laguna Hills CA 92653-3107 |
Mailing Address |
888 S Disneyland Dr Suite 100 Anaheim CA 92802-1847 |
Practice Telephone | 9495811770 |
Practice Fax Number | 9494542002 |
Mailing Telephone | 7143990678 |
Mailing Fax Number | 7142766489 |
Enumeration Date | 2006-08-25 |
Last Update Date | 2013-08-23 |
Authorized Official Name | DWAYNE KEITH LOGAN (CEO) |
Authorized Official Telephone | 7143990678 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | BLUE SHIELD | ZZZ65057Z | 01 |
Other Name | Type Code |
---|---|
Atlantis Eyecare | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114547619 | Eyecare Specialists Medical Group, Inc. | Optometrist | 1711 W Temple St Ste 5665, Los Angeles, CA 90026-5421 | 2020-04-24 |
1538791025 | Eyecare Specialists Medical Group, Inc. | Optometrist | 1595 E 17th St, Santa Ana, CA 92705-8506 | 2020-02-12 |
1942392238 | Eyecare Specialists Medical Group, Inc. | Optometrist | 475 W. Badillo St., Covina, CA 91723-1902 | 2006-09-28 |
1619597119 | Eyecare Specialists Medical Group, Inc. | Optometrist | 231 W Vernon Ave Ste 104, Los Angeles, CA 90037-2778 | 2020-04-24 |
1922529700 | Eyecare Specialists Medical Group, Inc. | Ophthalmology | 490 Post St Ste 933, San Francisco, CA 94102-1414 | 2017-06-30 |
1154878478 | Eyecare Specialists Medical Group, Inc. | Ophthalmology | 7677 Center Ave, Suite 102, Huntington Beach, CA 92647-3074 | 2016-09-02 |
1790173508 | Eyecare Specialists Medical Group, Inc. | Optometrist | 22525 Maple Ave, Suite 100, Torrance, CA 90505-2700 | 2014-12-31 |
1255649612 | Eyecare Specialists Medical Group, Inc. | Ophthalmology | 1360 W 6th St, North Bldg Suite 125, San Pedro, CA 90732-3514 | 2010-09-20 |
1750488169 | Eyecare Specialists Medical Group, Inc. | Optometrist | 7677 Center Ave, Suite 301, Huntington Beach, CA 92647-3074 | 2006-09-20 |
1568494649 | Eyecare Specialists Medical Group, Inc. | Optometrist | 8311 Florence Ave, Downey, CA 90240-3928 | 2006-07-07 |
Street Address |
23521 PASEO DE VALENCIA SUITE 305 |
City | LAGUNA HILLS |
State | CA |
Zip Code | 92653-3107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376540575 | Christine Evelyn Fritz | Physician Assistant | 23521 Paseo De Valencia, Suite #204, Laguna Hills, CA 92653-3107 | 2005-07-01 |
1073137238 | Allison Helen Paris | Physical Therapist | 23521 Paseo De Valencia, Suite B7, Laguna Hills, CA 92653-3107 | 2020-06-03 |
1568823714 | Sarah S. Teymoorian, Md, Inc. | Internal Medicine | 23521 Paseo De Valencia, Suite 108, Laguna Hills, CA 92653-3137 | 2016-03-16 |
1841675816 | John C Hwang Md Mba Inc | Ophthalmology | 23521 Paseo De Valencia, Suite 207, Laguna Hills, CA 92653-3107 | 2015-07-20 |
1376949826 | William Parks | Dentist | 23521 Paseo De Valencia, #112, Laguna Hills, CA 92653-3107 | 2014-11-11 |
1881019818 | Positive Healthy Aging, Inc. | Family Medicine | 23521 Paseo De Valencia, Suite 311, Laguna Hills, CA 92653-3107 | 2014-02-27 |
1912328865 | Chi-whei Lin, Md, Inc. | Internal Medicine | 23521 Paseo De Valencia, Suite 310, Laguna Hills, CA 92653-3107 | 2013-12-19 |
1194161703 | Jorge A. Rivero, M.d., Inc. | Family Medicine | 23521 Paseo De Valencia, Suite 108, Laguna Hills, CA 92653-3107 | 2013-05-22 |
1336491901 | Beautymark Anti Aging & Welness Center | Internal Medicine | 23521 Paseo De Valencia, Suite 310, Laguna Hills, CA 92653-3107 | 2012-10-08 |
1376800375 | Sarah Kay Selag Herrera | Pediatrics | 23521 Paseo De Valencia, Suite 200, Laguna Hills, CA 92653-3107 | 2012-04-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932708476 | Nikkie Veyseh | Behavior Technician | 26921 Falling Leaf Dr., Laguna Hills, CA 92653 | 2020-10-24 |
1609480425 | Steve Ceja | Behavior Technician | 25201 Paseo De Alicia Suite 110, Laguna Hills, CA 92653 | 2020-08-31 |
1467006882 | Kristina Alexa Puno Morales | Dietitian, Registered | 24552 Health Center Drive, Laguna Hills, CA 92653 | 2019-07-25 |
1164929626 | Shoreline Consulting Services, Inc. | Clinic/Center | 23010 Lake Forest Drive, Suite B, Laguna Hills, CA 92653 | 2018-04-11 |
1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
1831613850 | Stephani A Berg | Physical Medicine & Rehabilitation | 24422 Avenida De La Carlota Suite 190, Laguna Hills, CA 92653 | 2017-08-01 |
1497299945 | Stephanie Lyle | Nurse Practitioner | 24221 Calle De Louisa, Suite 400, Laguna Hills, CA 92653 | 2016-12-16 |
1053776278 | Meillanny Gladness | Counselor | 23151 Verdugo Dr Ste 203, Laguna Hills, CA 92653 | 2015-12-16 |
1912383183 | Pmdca, LLC | Clinical Medical Laboratory | 23297 S Pointe Dr Ste 100, Laguna Hills, CA 92653 | 2015-08-10 |
1821486630 | 4mpw, Inc. | Home Health | 23232 Peralta Drive 216, Laguan Hills, CA 92653 | 2014-12-31 |
Find all providers in zip 92653 |
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 |
---|---|---|---|---|
1093011942 | George M. Salib, M.d. Inc. | Ophthalmology | 24422 Avenida De La Carlota Ste 110, Laguna Hills, CA 92653-3634 | 2011-02-09 |
1841675816 | John C Hwang Md Mba Inc | Ophthalmology | 23521 Paseo De Valencia, Suite 207, Laguna Hills, CA 92653-3107 | 2015-07-20 |
1609213933 | Charles C Manger IIi | Ophthalmology | 23161 Moulton Pkwy, Laguna Hills, CA 92653-1206 | 2013-05-28 |
1508130741 | Lecc General Ophthalmology Management | Ophthalmology | 24022 Calle De La Plata, Suite 300, Laguna Hills, CA 92653-3629 | 2012-03-06 |
1558651729 | Jonathan R Pirnazar M.d. A PC | Ophthalmology | 24022 Calle De La Plata, Suite 300, Laguna Hills, CA 92653-3626 | 2011-04-08 |
1437389822 | Duna A Raoof | Ophthalmology | 24401 Calle De La Louisa, 300, Laguna Hills, CA 92653-3623 | 2009-07-20 |
1477713030 | Brian Takemoto Kim | Ophthalmology | 24401 Calle De La Louisa, Suite 300, Laguna Hills, CA 92653-3623 | 2008-06-16 |
1306026281 | Savak Teymoorian | Ophthalmology | 24401 Calle De La Louisa, Suite 300, Laguna Hills, CA 92653-3623 | 2007-11-08 |
1710174578 | Jude J Santiago M D Inc | Ophthalmology | 24953 Paseo De Valencia, Suite 6a, Laguna Hills, CA 92653-4342 | 2007-09-26 |
1679764732 | William L Mc Carthy Jr Md Inc | Ophthalmology | 24411 Health Center Dr, Suite 340, Laguna Hills, CA 92653-3651 | 2007-08-05 |
Find all providers in LAGUNA HILLS |
City | LAGUNA HILLS |
Zip Code | 92653 |
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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.