EYECARE SPECIALISTS MEDICAL GROUP, INC. (NPI# 1568494649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568494649 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP, INC. |
| Other Organization Name | ATLANTIS EYECARE |
| Practice Address |
8311 Florence Ave Downey CA 90240-3928 |
| Mailing Address |
2571 W. La Palma Ave. Anaheim CA 92801 |
| Practice Telephone | 5626228700 |
| Practice Fax Number | 5626221800 |
| Mailing Telephone | 7148214666 |
| Mailing Fax Number | 7148262300 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | DR. DWAYNE K LOGAN (PRESIDENT) |
| Authorized Official Telephone | 7148214666 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 152W00000X | Optometrist | W14969A | CA | Eye and Vision Services Providers |
| N | 207W00000X | Ophthalmology | W14969A | CA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GROUP NUMBER | W14969A | 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 |
| 1487762159 | Eyecare Specialists Medical Group, Inc. | Optometrist | 23521 Paseo De Valencia, Suite 305, Laguna Hills, CA 92653-3107 | 2006-08-25 |
| 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 | 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 |
|---|---|---|---|---|
| 1023392966 | H Shammas Md Inc | Ophthalmology | 8409 Florence Ave Ste 100, Downey, CA 90240-3962 | 2011-10-10 |
| 1760584270 | Joseph K W Hsu | Ophthalmology | 8333 Iowa St, #202, Downey, CA 90241-4994 | 2006-09-04 |
| 1992748479 | Brian M. Brown | Ophthalmology | 10933 Lakewood Blvd, Downey, CA 90241-3808 | 2006-06-13 |
| 1477555985 | Thomas Boo-hun Choi | Ophthalmology | 10800 Paramount Blvd, Suite 304, Downey, CA 90241-3331 | 2005-08-15 |
| 1831387083 | Brian M. Brown, M.d., Inc | Ophthalmology | 10933 Lakewood Blvd, Downey, CA 90241-3808 | 2007-10-11 |
| 1538369152 | Joseph K W Hsu Professional Corporation | Ophthalmology | 8333 Iowa St, #202, Downey, CA 90241-4994 | 2007-07-22 |
| 1639377310 | Annie K. Lim | Ophthalmology | 9449 Imperial Hwy, Downey, CA 90242-2814 | 2007-07-05 |
| 1598813305 | Amy Hsieh Mccluskey | Ophthalmology | 9449 Imperial Hwy, Building B, Downey, CA 90242-2814 | 2007-01-08 |
| 1326151531 | Marc Segall | Ophthalmology | 11411 Brookshire Ave, Downey, CA 90241-5003 | 2006-08-15 |
| 1932126745 | Thomas B. Choi, Md, Prof. Corp. | Ophthalmology | 10800 Paramount Blvd, Suite 304, Downey, CA 90241-3331 | 2006-07-16 |
| 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.