EYE PHYSICIANS OF THE EAST BAY MEDICAL CORPORATION (NPI# 1629014618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629014618 |
| Entity Type | Organization |
| Organization Name | EYE PHYSICIANS OF THE EAST BAY MEDICAL CORPORATION |
| Practice Address |
80 Grand Ave Suite 700 Oakland CA 94612-3725 |
| Practice Telephone | 5108934318 |
| Practice Fax Number | 5108931108 |
| Mailing Telephone | 5108934318 |
| Mailing Fax Number | 5108931108 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | DR. MICHAEL LEE WANG (PRESIDENT) |
| Authorized Official Telephone | 5108934318 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | CA | Allopathic & Osteopathic Physicians |
| Street Address |
80 GRAND AVE SUITE 700 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94612-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710954649 | William A. Billings | Orthopaedic Surgery | 80 Grand Ave, Suite 400, Oakland, CA 94612-3725 | 2006-02-28 |
| 1922543149 | Nancy Elizabeth Adams | Internal Medicine | 80 Grand Ave, Suite 600, Oakland, CA 94612-3725 | 2016-12-23 |
| 1487895777 | Oakland Sleep Center | Clinic/Center | 80 Grand Ave, Suite 200, Oakland, CA 94612-3725 | 2009-03-16 |
| 1518106996 | East Bay Special Surgery LLC | Clinic/Center | 80 Grand Ave, Suite 100, Oakland, CA 94612-3725 | 2009-02-09 |
| 1871731299 | East Bay Special Imaging Medical Group, Inc. | Clinic/Center | 80 Grand Ave, Suite 100, Oakland, CA 94612-3725 | 2009-01-22 |
| 1275747677 | Sarah Langbein | Physician Assistant | 80 Grand Ave, Oakland, CA 94612-3725 | 2007-05-09 |
| 1306968185 | Xiang Fei | Case Manager/Care Coordinator | 80 Grand Ave, Suite 610, Oakland, CA 94612 | 2007-04-04 |
| 1265572440 | Glen Kee Lau, Md Inc | Plastic Surgery | 80 Grand Ave, Ste. 810, Oakland, CA 94612-3725 | 2007-02-07 |
| 1073653150 | Glen K. Lau | Plastic Surgery | 80 Grand Ave, Ste. 810, Oakland, CA 94612-3725 | 2007-02-07 |
| 1720152507 | Chang O. Kim | Orthopaedic Surgery | 80 Grand Ave, 5th Floor, Oakland, CA 94612-3725 | 2006-11-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766284 | Olivia Vega | Behavior Technician | 155 Grand Ave Suite 500, Oakland, CA 94612 | 2020-09-25 |
| 1700418001 | Thera Share | Counselor | 1714 Franklin St #411, Oakland, CA 94612 | 2020-02-05 |
| 1386284644 | Nicole Yolanda Satterfield | Behavioral Analyst | 180 Grand, Oakland, CA 94612 | 2020-01-14 |
| 1992365514 | Integrative Fertility | Acupuncturist | 449 15th St, #101, Oakland, CA 94612 | 2019-06-17 |
| 1578029500 | Emma Noble | Hearing Instrument Specialist | 2201 Broadway Ste 328, Oakland, CA 94612 | 2019-02-14 |
| 1992299143 | Lutchmia Lizonia Engelbrecht | Community Health Worker | 160 14th St Apt 501, Oakland, CA 94612 | 2018-06-20 |
| 1417446444 | Ruth L Richards | Psychiatry & Neurology | 475 Fourteenth St, Ninth Floor, Oakland, CA 94612 | 2018-05-04 |
| 1033618384 | Thomas Plumber | Case Manager/Care Coordinator | 1389 Jefferson St Oakland California Apt D210, Oakland, CA 94612 | 2018-02-01 |
| 1992221774 | Victoria Davina Casillas | Counselor | 559 16th Street, Oakland, CA 94612 | 2017-08-14 |
| 1356864854 | Mackenzie Sodestrom | Marriage & Family Therapist | 287 17th St Ste 205, Oakland, CA 94612 | 2017-07-17 |
| Find all providers in zip 94612 | ||||
| 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 |
|---|---|---|---|---|
| 1114299179 | Richard Arden Deutsche | Ophthalmology | 121 Hazel Lane, Oakland, CA 94611 | 2012-02-06 |
| 1528344751 | Daniel John Kim | Ophthalmology | 6020 Thornhill Dr, Oakland, CA 94611-2150 | 2011-11-02 |
| 1053612333 | E James Langham Md Inc | Ophthalmology | 491 30th Street, #201, Oakland, CA 94609-3235 | 2010-11-03 |
| 1669782124 | Jennifer Edith De Niro | Ophthalmology | 491 30th St Ste 201, Oakland, CA 94609-3235 | 2010-10-19 |
| 1285941195 | Samuel Reiter | Ophthalmology | 3772 Howe St Fl 3, Oakland, CA 94611 | 2010-09-13 |
| 1639303118 | Iryna Anatoliyevna Falkenstein | Ophthalmology | 491 30th St Ste 103, Oakland, CA 94609 | 2009-05-12 |
| 1790965341 | East Bay Retina Consultants A Medical Group, Inc. | Ophthalmology | 3300 Telegraph Ave., Oakland, CA 94609-3028 | 2007-11-13 |
| 1255438800 | Selim Taylan Koseoglu | Ophthalmology | 5275 Claremont Ave, Oakland, CA 94618-1032 | 2006-09-17 |
| 1023129095 | Richard Hoo Lee Jr. | Ophthalmology | 491 30th St Suite #201, Oakland, CA 94609 | 2006-08-31 |
| 1346274024 | Jane V Loman | Ophthalmology | 80 Grand Ave Ste 700, Oakland, CA 94612-3744 | 2006-07-10 |
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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.