EYECARE SPECIALISTS MEDICAL GROUP


Address: 7777 Edinger Ave, Suite 234, Huntington Beach, CA 92647-3601
Phone: 7149012006

EYECARE SPECIALISTS MEDICAL GROUP (NPI# 1750551172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750551172
Entity Type Organization
Organization Name EYECARE SPECIALISTS MEDICAL GROUP
Other Organization Name ATLANTIS EYECARE
Practice Address 7777 Edinger Ave
Suite 234
Huntington Beach
CA 92647-3601
Mailing Address 888 S Disneyland Dr
Suite 100
Anaheim
CA 92802-1847
Practice Telephone 7149012006
Practice Fax Number 7149012004
Mailing Telephone 7146044621
Mailing Fax Number 7148293232
Enumeration Date 2008-03-03
Last Update Date 2010-09-10
Authorized Official Name DWAYNE KEITH LOGAN (PRESIDENT)
Authorized Official Telephone 7146044643
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 152W00000X Optometrist Eye and Vision Services Providers
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD ZZZ52133Y 01

Other Provider/Organization Names

Other Name Type Code
Atlantis Eyecare Other Name - Individual/Organization

Other Provider IDs and Locations

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
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

Office Location

Street Address 7777 EDINGER AVE
SUITE 234
City HUNTINGTON BEACH
State CA
Zip Code 92647-3601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306909403 Hani Salehi-had Ophthalmology 7777 Edinger Ave, Suite 234, Huntington Beach, CA 92647-3601 2006-12-19
1760795868 Jennifer Lee Scarborough Physician Assistant 7777 Edinger Ave, Huntington Beach, CA 92647-3601 2010-07-17
1619182474 Brian Behzad Toorani Dentist 7777 Edinger Ave, Suite 232, Huntington Beach, CA 92647-3601 2007-05-14

Providers in the same zip code

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 Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City HUNTINGTON BEACH
Zip Code 92647

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Dataset Information

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.

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