EYECARE SPECIALISTS MEDICAL GROUP (NPI# 1598979148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598979148 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP |
| Other Organization Name | ATLANTIS EYECARE |
| Practice Address |
26730 Towne Centre Dr 204 Foothill Ranch CA 92610-2842 |
| Mailing Address |
888 S Disneyland Dr Suite 100 Anaheim CA 92802-1847 |
| Practice Telephone | 9499166428 |
| Practice Fax Number | 9499168657 |
| Mailing Telephone | 7146044621 |
| Mailing Fax Number | 7148293232 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-09-10 |
| Authorized Official Name | DR. DWAYNE K LOGAN (PRESIDENT) |
| Authorized Official Telephone | 7146044642 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | CA | Eye and Vision Services Providers | |
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ01501Z | 01 |
| 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 |
| 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 |
26730 TOWNE CENTRE DR 204 |
| City | FOOTHILL RANCH |
| State | CA |
| Zip Code | 92610-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295766889 | Douglas Chang | Psychiatry & Neurology | 26730 Towne Centre Dr, Suite 202, Foothill Ranch, CA 92610-2842 | 2006-07-05 |
| 1245895556 | Avicenna Dietetics LLC | Dietitian, Registered | 26730 Towne Centre Dr, Foothill Ranch, CA 92610-2842 | 2019-05-02 |
| 1275864910 | Abc Children's Clinic Inc. | Pediatrics | 26730 Towne Centre Dr, Suite 102, Foothill Ranch, CA 92610-2842 | 2010-01-20 |
| 1497968697 | Maryam Michelle Pearose | Dentist | 26730 Towne Centre Dr, Suite 106, Foothill Ranch, CA 92610-2842 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406945 | Jane Swartz | Technician | 26322 Towne Centre Dr #617, #617, Foothill Ranch, CA 92610 | 2019-09-17 |
| 1982128807 | Arlyn P Sabado | Dietitian, Registered | 26371 Paloma Apt 35, Foothill Ranch, CA 92610 | 2017-08-02 |
| 1710408729 | Alberto Huerta | Specialist/Technologist | 11 Enfilade Ave, Foothill Ranch, CA 92610 | 2017-06-29 |
| 1932411022 | Aimee Katharine Belier Trujillo | Dentist | 45 Auto Center Dr Ste 110, Foothill Ranch, CA 92610 | 2010-07-06 |
| 1346453321 | Leonard Stephen Vaughan | Dentist | 26730 Towne Centre Drive, Suite 105, Foothill Ranch, CA 92610 | 2007-05-07 |
| 1619189586 | Dana M Roberts Dds Inc | Dentist | 26700 Towne Centre Drive, Suite 240, Lake Forest, CA 92610 | 2007-05-04 |
| 1336205376 | Global Wellness Medical Corporation | Family Medicine | 26740 Towne Centre Drive, Foothill Ranch, CA 92610 | 2006-12-27 |
| 1235229253 | Reagan and Pandhoh Dental Corporation | Dentist | 45 Auto Center Dr, Ste. 110, Foothill Ranch, CA 92610 | 2006-10-13 |
| 1306953229 | Sumeet S Pandhoh | Dentist | 45 Auto Center Drive, Ste. 110, Foothill Ranch, CA 92610 | 2006-08-24 |
| 1619987617 | Hootan M Daneshmand | Plastic Surgery | 27462 Portola Parkway, Suite 100, Foothill Ranch, CA 92610 | 2006-08-09 |
| Find all providers in zip 92610 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | FOOTHILL RANCH |
| Zip Code | 92610 |
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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.