CENTURY EYE CARE MEDICAL CENTER, INC. (NPI# 1629274337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629274337 |
| Entity Type | Organization |
| Organization Name | CENTURY EYE CARE MEDICAL CENTER, INC. |
| Other Organization Name | CENTURY EYE CARE |
| Practice Address |
4477 W 118th St Ste 101 Hawthorne CA 90250-2255 |
| Mailing Address |
1141 W Redondo Beach Blvd Ste 101 Gardena CA 90247-3586 |
| Practice Telephone | 3106448877 |
| Practice Fax Number | 3106448870 |
| Mailing Telephone | 3107677814 |
| Mailing Fax Number | 3103233785 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | DR. MEHRDAD M AGHAI (PRESIDENT) |
| Authorized Official Telephone | 3107677814 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G83156 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G831561 | 05 |
| Other Name | Type Code |
|---|---|
| CENTURY EYE CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871783019 | Century Eye Care Medical Center, Inc. | Ophthalmology | 1141 W Redondo Beach Blvd, Ste 101, Gardena, CA 90247-3585 | 2007-07-25 |
| Street Address |
4477 W 118TH ST STE 101 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942290937 | Janice Maria Knight-cooper | Pharmacist | 4477 W 118th St, #100, Hawthorne, CA 90250-2255 | 2005-10-21 |
| 1861867715 | Maria Montessa Tinoco | Nurse Practitioner | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2255 | 2015-12-03 |
| 1164868931 | Nona Pacatang Santos | Nurse Practitioner | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2255 | 2013-05-20 |
| 1952655656 | M.r.das, M.d., Inc. | Internal Medicine | 4477 W 118th St, Ste 409, Hawthorne, CA 90250-2255 | 2012-11-01 |
| 1639440878 | Meridian Holdings, Inc | Internal Medicine | 4477 W 118th St, 304, Hawthorne, CA 90250-2255 | 2012-01-19 |
| 1225328610 | Pooja Kumar | Internal Medicine | 4477 W 118th St, Suite 200, Hawthorne, CA 90250-2255 | 2011-04-19 |
| 1306149083 | Drayton P Graham A Medical Corporation | Internal Medicine | 4477 W 118th St, Ste. 401, Hawthorne, CA 90250-2255 | 2010-12-17 |
| 1891949681 | Rajender Singh Dabas | Physician Assistant | 4477 W 118th St, Suite 303, Hawthorne, CA 90250-2255 | 2008-11-06 |
| 1558542449 | Ronald Thomas Kaufmann | Physician Assistant | 4477 W 118th St, Suite #303, Hawthorne, CA 90250-2255 | 2007-11-19 |
| 1528255684 | Primax Healthcare Associates, Inc. | Specialist | 4477 W 118th St, Suite 302, Hawthorne, CA 90250-2255 | 2007-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| 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 |
|---|---|---|---|---|
| 1952781387 | Neil Franklin Letts | Ophthalmology | 160 Little Orange Lake Drive, Hawthorne, FL 32640 | 2015-06-01 |
| 1053572438 | Carolyn Page Graeber | Ophthalmology | 40 Saw Mill River Rd Ste Ul7, Hawthorne, NY 10532-1535 | 2008-06-19 |
| 1164431490 | Frederic R Newman | Ophthalmology | 654 Lafayette Ave, Hawthorne, NJ 07506-2435 | 2006-08-05 |
| 1528099132 | Howard P Phillips | Ophthalmology | 24 Saw Mill River Road, Hudson Valley Eye Associates, Hawthorne, NY 10532 | 2006-07-05 |
| 1043241714 | Robert Lance Charet. Md, Inc. | Ophthalmology | 12954 Hawthorne Blvd Ste 103, Hawthorne, CA 90250-4418 | 2006-07-05 |
| 1386674489 | Hudson Valley Eye Associates LLP | Ophthalmology | Hudson Valley Eye Associates, 24 Saw Mill River Road, Suite 202, Hawthorne, NY 10532 | 2006-07-04 |
| 1881646552 | Edmund Paul Farris Jr. | Ophthalmology | 24 Saw Mill River Rd Ste 202, Hawthorne, NY 10532-1555 | 2006-05-17 |
| 1326571993 | Children's Ophthalmology, P.C. | Ophthalmology | 40 Saw Mill River Rd, Hawthorne, NY 10532-1535 | 2017-04-10 |
| 1548655061 | Christina Scelfo | Ophthalmology | 40 Saw Mill River Rd, Hawthorne, NY 10532-1535 | 2015-04-01 |
| 1356376180 | Robert Lance Charet | Ophthalmology | 12954 Hawthorne Blvd, Suite 103, Hawthorne, CA 90250-4418 | 2006-07-11 |
| Find all providers in HAWTHORNE | ||||
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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.