EYECARE SPECIALISTS MEDICAL GROUP (NPI# 1598995144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598995144 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP |
| Other Organization Name | ATLANTIS EYECARE |
| Practice Address |
4950 Barranca Pkwy Suite 304 Irvine CA 92714 |
| Mailing Address |
888 S Disneyland Dr Suite 100 Anaheim CA 92802-1847 |
| Practice Telephone | 9498571216 |
| Mailing Telephone | 7146044621 |
| Mailing Fax Number | 7148293232 |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2010-09-10 |
| Authorized Official Name | DWAYNE KEITH LOGAN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7146044642 |
| Authorized Official Credential | M.D. |
| 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 | BLUE SHIELD | ZZZ58890Y | 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 |
| 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 |
| 1255363784 | Eyecare Specialists Medical Group | Optometrist | 8311 Florence Ave, Downey, CA 90240-3928 | 2006-07-07 |
| Street Address |
4950 BARRANCA PKWY SUITE 304 |
| City | IRVINE |
| State | CA |
| Zip Code | 92714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831186410 | Doctors of Children Medical Corporation | Pediatrics | 4950 Barranca Pkwy, Suite 209, Irvine, CA 92604-4671 | 2005-09-29 |
| 1518575992 | Shelley Marie Williams | Nurse Practitioner | 4950 Barranca Pkwy, Irvine, CA 92604-4671 | 2020-07-21 |
| 1003361270 | Igne Optometric Corporation | Optometrist | 4950 Barranca Pkwy, Suite E, Irvine, CA 92604-4671 | 2016-08-17 |
| 1205204617 | Nahid Rahimi-meshkin | Nurse Practitioner | 4950 Barranca Pkwy, Irvine, CA 92604-4671 | 2015-09-02 |
| 1811315989 | Family Wellness Acupuncture Inc | Acupuncturist | 4950 Barranca Pkwy, Suite 301, Irvine, CA 92604-4671 | 2014-04-04 |
| 1942552427 | Said F Hakim, Md, A Professional Corporation | General Practice | 4950 Barranca Pkwy, Suite 201, Irvine, CA 92604-4671 | 2012-10-09 |
| 1619232378 | Coastal Family Medicine, Inc | Family Medicine | 4950 Barranca Pkwy, Suite 103, Irvine, CA 92604-4630 | 2012-07-09 |
| 1710245634 | Seaside Dermatology, Inc. | Dermatology | 4950 Barranca Pkwy, Suite 307, Irvine, CA 92604-4671 | 2012-04-28 |
| 1306113089 | Thuy-anh P. Nguyen, Dds, Inc. | Dentist | 4950 Barranca Pkwy, Suite 309, Irvine, CA 92604 | 2011-11-22 |
| 1013296375 | Frank S. Seo, Dds, Mph, Inc. | Clinic/Center | 4950 Barranca Pkwy, Suite 309, Irvine, CA 92604-4671 | 2011-08-04 |
| Find all providers in the same location | ||||
| 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 |
|---|---|---|---|---|
| 1700249554 | Priyanka Chhadva | Ophthalmology | 850 Health Sciences Rd Cornea Department, Irvine, CA 92697-3226 | 2016-03-30 |
| 1013388172 | Irvine Eye Medical Group | Ophthalmology | 15785 Laguna Canyon Rd Ste 300, Irvine, CA 92618-3178 | 2015-10-15 |
| 1548520828 | Joseph Norman Lambert | Ophthalmology | 7 Alderberry, Irvine, CA 92604-4657 | 2012-05-21 |
| 1144463761 | Jennifer Lee Wu | Ophthalmology | 2500 Alton Pkwy Ste 102, Irvine, CA 92606-5032 | 2009-04-13 |
| 1366606055 | Chantal Josee Boisvert | Ophthalmology | 850 Health Sciences Road, Uci Gavin Herbert Eye Institute, Irvine, CA 92697-4375 | 2008-07-11 |
| 1275796781 | James Harlan Johnson | Ophthalmology | 2102 Business Center Drive, Suite 154, Irvine, CA 92612-1001 | 2008-07-03 |
| 1346425964 | Nika Omid | Ophthalmology | 4920 Barranca Pkwy Ste A, Irvine, CA 92604-4672 | 2008-01-02 |
| 1750565032 | Jonathan Winarko | Ophthalmology | 118 Med Surge I, Irvine, CA 92697-4375 | 2007-12-23 |
| 1982729786 | Helen C. Tseng | Ophthalmology | 118 Med Surge 1 Attn Karen Tighe, Uc Irvine, Dept of Ophthalmology, Irvine, CA 92697 | 2007-03-20 |
| 1235279910 | Rhett Mead Schiffman | Ophthalmology | 118 Med Surge # 1, Irvine, CA 92697-4375 | 2007-02-08 |
| Find all providers in IRVINE | ||||
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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.