EYECARE SPECIALISTS MEDICAL GROUP (NPI# 1750314381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750314381 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP |
| Other Organization Name | ATLANTIS EYECARE |
| Practice Address |
236 W College St Covina CA 91723-1902 |
| Mailing Address |
7677 Center Ave Suite 301 Huntington Beach CA 92647-3074 |
| Practice Telephone | 6267322200 |
| Practice Fax Number | 6267322900 |
| Mailing Telephone | 7149012004 |
| Mailing Fax Number | 7149012003 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DWAYNE KEITH LOGAN (PRESIDENT/CEO) |
| Authorized Official Telephone | 7149012004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A83552 | CA | Allopathic & Osteopathic Physicians |
| 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 |
| 1598979148 | Eyecare Specialists Medical Group | Optometrist | 26730 Towne Centre Dr, 204, Foothill Ranch, CA 92610-2842 | 2007-05-10 |
| 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 |
236 W COLLEGE ST |
| City | COVINA |
| State | CA |
| Zip Code | 91723-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114980760 | Dharmesh S Mehta | Anesthesiology | 236 W College St, Covina, CA 91723-1902 | 2006-04-06 |
| 1437620283 | Joanna Acosta | Physician Assistant | 236 W College St, Covina, CA 91723-1902 | 2018-12-05 |
| 1932608304 | Terraneisha Croffitt | Physician Assistant | 236 W College St, Covina, CA 91723-1902 | 2018-02-12 |
| 1649698481 | James Kim | Anesthesiology | 236 W College St, Covina, CA 91723-1902 | 2014-03-30 |
| 1306186101 | Rosalyne Leong | Physician Assistant | 236 W College St, Covina, CA 91723-1902 | 2013-02-15 |
| 1487885372 | Foothills Pain Management Clinic PC | Anesthesiology | 236 W College St, Covina, CA 91723-1902 | 2009-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550593 | Joshua Mercado | Behavior Technician | 210 N. Citrus Ave., Covina, CA 91723 | 2020-08-26 |
| 1578104790 | Alda Shin Shin | Behavioral Analyst | 1343 S. Grand Avenue, Suite 200, Covina, CA 91723 | 2019-09-30 |
| 1063074490 | Julia De La Torre | Student in an Organized Health Care Education/Training Program | 540 S Eremland Drive, Covina, CA 91723 | 2019-07-05 |
| 1336639368 | Counseling Solutions for Children and Families, Psychology Corporation | Community/Behavioral Health | 271 E Workman St Ste 101, Covina, CA 91723 | 2018-05-15 |
| 1669995916 | Helen Wang Le | Optometrist | 554 E San Bernardino Rd Ste 102, Covina, CA 91723 | 2017-07-19 |
| 1992242879 | Donovan Kouthiraj | Behavior Technician | 210 N Citrus Ave Ste A1, Covina, CA 91723 | 2017-01-30 |
| 1427406339 | Robinson Baron Medical Clinic | Surgery | 274 W Badillo Street, Covina, CA 91723 | 2016-06-01 |
| 1306211123 | Absolute Senior Care Services, Inc | In Home Supportive Care | 599 S Barranca Ave Ste 205, Covina, CA 91723 | 2015-12-04 |
| 1780061135 | Mohan Ckd Clinic | Internal Medicine | 171 W Cottage St, Covina, CA 91723 | 2015-05-05 |
| 1992198915 | Toshihisa Takei | Otolaryngology | 202 West College Street, Covina, CA 91723 | 2015-03-16 |
| Find all providers in zip 91723 | ||||
| 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 |
|---|---|---|---|---|
| 1285732727 | Kavita Surti | Ophthalmology | 475 West Badillo Street, Covina, CA 91723-1902 | 2006-09-20 |
| 1477588374 | Jeffrey M. Frey | Ophthalmology | 475 W Badillo St, Covina, CA 91723-1834 | 2006-07-11 |
| 1437480571 | Kavita Surti Md Inc | Ophthalmology | 475 W Badillo St, Covina, CA 91723-1834 | 2010-01-28 |
| 1063471936 | Elizabeth Froncisz Kula | Ophthalmology | 420 W Rowland St, Covina, CA 91723-2943 | 2006-03-20 |
| 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 | ||||
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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.