EYECARE SPECIALISTS MEDICAL GROUP, INC. (NPI# 1750488169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750488169 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP, INC. |
| Other Organization Name | ATLANTIS EYECARE |
| Practice Address |
7677 Center Ave Suite 301 Huntington Beach CA 92647-3074 |
| Mailing Address |
7677 Center Ave. Suite 301 Huntington Beach CA 92647-3074 |
| Practice Telephone | 7149012004 |
| Practice Fax Number | 7149012003 |
| Mailing Telephone | 7149012004 |
| Mailing Fax Number | 7149012003 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-02-09 |
| Authorized Official Name | DR. DWAYNE K LOGAN (PRESIDENT) |
| Authorized Official Telephone | 7149012004 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | W14969F | CA | Eye and Vision Services Providers |
| N | 207W00000X | Ophthalmology | W14969F | CA | Allopathic & Osteopathic Physicians |
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PIN | W14969F | 01 |
| Other Name | Type Code |
|---|---|
| Atlantis Eyecare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114547619 | Eyecare Specialists Medical Group, Inc. | Optometrist | 1711 W Temple St Ste 5665, Los Angeles, CA 90026-5421 | 2020-04-24 |
| 1538791025 | Eyecare Specialists Medical Group, Inc. | Optometrist | 1595 E 17th St, Santa Ana, CA 92705-8506 | 2020-02-12 |
| 1942392238 | Eyecare Specialists Medical Group, Inc. | Optometrist | 475 W. Badillo St., Covina, CA 91723-1902 | 2006-09-28 |
| 1619597119 | Eyecare Specialists Medical Group, Inc. | Optometrist | 231 W Vernon Ave Ste 104, Los Angeles, CA 90037-2778 | 2020-04-24 |
| 1922529700 | Eyecare Specialists Medical Group, Inc. | Ophthalmology | 490 Post St Ste 933, San Francisco, CA 94102-1414 | 2017-06-30 |
| 1154878478 | Eyecare Specialists Medical Group, Inc. | Ophthalmology | 7677 Center Ave, Suite 102, Huntington Beach, CA 92647-3074 | 2016-09-02 |
| 1790173508 | Eyecare Specialists Medical Group, Inc. | Optometrist | 22525 Maple Ave, Suite 100, Torrance, CA 90505-2700 | 2014-12-31 |
| 1255649612 | Eyecare Specialists Medical Group, Inc. | Ophthalmology | 1360 W 6th St, North Bldg Suite 125, San Pedro, CA 90732-3514 | 2010-09-20 |
| 1487762159 | Eyecare Specialists Medical Group, Inc. | Optometrist | 23521 Paseo De Valencia, Suite 305, Laguna Hills, CA 92653-3107 | 2006-08-25 |
| 1568494649 | Eyecare Specialists Medical Group, Inc. | Optometrist | 8311 Florence Ave, Downey, CA 90240-3928 | 2006-07-07 |
| Street Address |
7677 CENTER AVE SUITE 301 |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92647-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255382842 | The Advanced Healthcare Group | Clinic/Center | 7677 Center Ave, Suite 104, Huntington Beach, CA 92647-3074 | 2006-05-16 |
| 1568913671 | Pro Sports Institute A Medical Corporation Inc | Chiropractor | 7677 Center Ave, Suite 403, Huntington Beach, CA 92647-3074 | 2016-10-24 |
| 1154878478 | Eyecare Specialists Medical Group, Inc. | Ophthalmology | 7677 Center Ave, Suite 102, Huntington Beach, CA 92647-3074 | 2016-09-02 |
| 1295137602 | Zhanna Rapoport, Md, Inc. | Psychiatry & Neurology | 7677 Center Ave, Ste 200, Huntington Beach, CA 92647-3074 | 2014-09-17 |
| 1578991162 | Michael P. Wilson, Dds, Inc | Dentist | 7677 Center Ave, Suite 210, Huntington Beach, CA 92647-3074 | 2013-10-17 |
| 1720412828 | Wave Imaging, LLC | Clinic/Center | 7677 Center Ave, Suite 212, Huntington Beach, CA 92647-3074 | 2013-08-26 |
| 1538592407 | Wave Imaging, LLC | Clinic/Center | 7677 Center Ave, Suite 103, Huntington Beach, CA 92647-3074 | 2013-08-15 |
| 1225325681 | Jennifer Chen Dds A Professional Corporation | Dentist | 7677 Center Ave, Suite 210, Huntington Beach, CA 92647-3074 | 2011-07-06 |
| 1801107776 | Michael W Marshall Dds. Inc | Dentist | 7677 Center Ave, Suite 206, Huntington Beach, CA 92647-3074 | 2010-06-25 |
| 1851619407 | Nima Rezaei Abbassi | Ophthalmology | 7677 Center Ave, Suite 301, Huntington Beach, CA 92647-3074 | 2010-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417464231 | Patricia Michelle Ramsey | Counselor | 16761 Viewpoint Lane, Apt 386, Huntington Beach, CA 92647 | 2018-01-02 |
| 1780103390 | Luz Flores | Health Educator | 8041 Newman Avenue, Hungtington Beach, CA 92647 | 2017-09-14 |
| 1134649106 | Louise Polzel | Social Worker | 17111 Beach Blvd St 205, Huntington Beach, CA 92647 | 2017-06-21 |
| 1205364015 | Chi Hong Nguyen | Family Medicine | 8201 Newman Ave 101, Huntington, CA 92647 | 2017-05-24 |
| 1396281770 | Sandra Vera | Specialist/Technologist | 7812 Edinger Ave. #400, Huntington Beach, CA 92647 | 2017-01-10 |
| 1245773050 | Sherika Benjamin | Technician, Pathology | 8211 San Angelo Drive Suit #f2, Huntington Beach, CA 92647 | 2016-11-28 |
| 1306389440 | Nhi Pham Nguyen | Behavioral Analyst | 17732 Beach Blvd., Suite G, Huntington Beach, CA 92647 | 2016-11-21 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1699148494 | Daniel Bui | Dentist | 16900-a Goldenwest St, Huntington Beach, CA 92647 | 2015-11-03 |
| 1598132359 | Hayley Patricia Buchanan | Specialist/Technologist | 23441 S. Pointe Drive, Suite 245, Laguna Hills, ORANGE COUNTY 92647 | 2015-08-27 |
| Find all providers in zip 92647 | ||||
| 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 |
|---|---|---|---|---|
| 1144881186 | Pacifica Laser Eye Center | Ophthalmology | 18800 Main St Ste 101, Huntington Beach, CA 92648-1717 | 2019-06-20 |
| 1295177608 | David Louis Kazan | Ophthalmology | 401 15th St, Huntington Beach, CA 92648-4203 | 2013-07-26 |
| 1003163940 | Jeffrey Quitman | Ophthalmology | 18685 Calera Ln, Huntington Beach, CA 92648-6827 | 2012-08-09 |
| 1609071323 | Robert G. Starr M.d., Inc | Ophthalmology | 7677 Center Ave Ste 204, Huntington Beach, CA 92647-9102 | 2007-06-21 |
| 1306989017 | Katerina Kurteeva | Ophthalmology | 19671 Beach Blvd Ste 400, Huntington Beach, CA 92648-5930 | 2007-02-14 |
| 1306909403 | Hani Salehi-had | Ophthalmology | 7777 Edinger Ave, Suite 234, Huntington Beach, CA 92647-3601 | 2006-12-19 |
| 1164500633 | Patrick Glenn Mccaffery | Ophthalmology | 6792 Jardines Dr, Huntington Beach, CA 92647-6628 | 2006-11-01 |
| 1235224973 | Roberto Rende | Ophthalmology | 16830 Algonquin St, Huntington Beach, CA 92649-3882 | 2006-10-04 |
| 1871545434 | Samir Ashok Shah | Ophthalmology | 18582 Main St, Attn: Traill Mccabe, Huntington Beach, CA 92648-1701 | 2006-05-16 |
| 1033174040 | Antoine K Fahd | Ophthalmology | 19671 Beach Blvd, Suite 400, Huntington Beach, CA 92648-5901 | 2006-04-20 |
| Find all providers in HUNTINGTON BEACH | ||||
| City | HUNTINGTON BEACH |
| Zip Code | 92647 |
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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.