EYECARE SPECIALISTS MEDICAL GROUP (NPI# 1881626398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881626398 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP |
| Other Organization Name | ATLANTIS EYECARE |
| Practice Address |
9940 Talbert Ave Fountain Valley CA 92708-5153 |
| Mailing Address |
7677 Center Ave Suite 301 Huntington Beach CA 92647-3074 |
| Practice Telephone | 7149643700 |
| Practice Fax Number | 7145935392 |
| Mailing Telephone | 7149012004 |
| Mailing Fax Number | 7149012003 |
| Enumeration Date | 2006-07-07 |
| 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 | 152W00000X | Optometrist | 5954TPA | CA | Eye and Vision Services Providers |
| 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 |
| 1750314381 | Eyecare Specialists Medical Group | Ophthalmology | 236 W College St, Covina, CA 91723-1902 | 2006-07-08 |
| 1255363784 | Eyecare Specialists Medical Group | Optometrist | 8311 Florence Ave, Downey, CA 90240-3928 | 2006-07-07 |
| Street Address |
9940 TALBERT AVE |
| City | FOUNTAIN VALLEY |
| State | CA |
| Zip Code | 92708-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527774 | Fernando H Austin | Internal Medicine | 9940 Talbert Ave, Fountain Valley, CA 92708-5153 | 2005-06-10 |
| 1487023222 | Heather Ha-thanh Nguyen | Physician Assistant | 9940 Talbert Ave, #101, Fountain Valley, CA 92708-5153 | 2015-09-23 |
| 1952643512 | Truong Neuroscience Institute Inc. | Psychiatry & Neurology | 9940 Talbert Ave, Suite 204, Fountain Valley, CA 92708-5153 | 2013-03-21 |
| 1841567781 | Best Center Inc. | Neurological Surgery | 9940 Talbert Ave, Suite 201, Fountain Valley, CA 92708-5153 | 2011-11-21 |
| 1467741728 | Lena B Nguyen | Obstetrics & Gynecology | 9940 Talbert Ave, #303, Fountain Valley, CA 92708 | 2011-04-06 |
| 1851696967 | Ricardo Cardenas | Physician Assistant | 9940 Talbert Ave, Suite 101, Fountain Valley, CA 92708-5153 | 2011-01-20 |
| 1023329125 | Kong Truong | Psychiatry & Neurology | 9940 Talbert Ave, Suite 204, Fountain Valley, CA 92708-5153 | 2010-06-24 |
| 1952621351 | Theriault Jeanne Todd | Psychologist | 9940 Talbert Ave, Suite 100, Fountain Valley, CA 92708-5153 | 2010-06-08 |
| 1528299849 | Russell P Rapoza M D A Professional Corporation | Specialist | 9940 Talbert Ave, Suite 201, Fountain Valley, CA 92708-5153 | 2009-08-04 |
| 1679701072 | Debi Duci Lambert | Obstetrics & Gynecology | 9940 Talbert Ave, 303, Fountain Valley, CA 92708-5153 | 2009-06-24 |
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| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
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| 1295205425 | Alexander Nee Dds Inc | Dentist | 337 S Rancho Santa Fe Rd, San Marcos, CA 92708 | 2018-11-30 |
| 1093293052 | Claudia Raquel Santos | Physical Therapist | 18384 Brookhurst Street, Fountain Valley, CA 92708 | 2018-08-01 |
| 1659864338 | Orange County Respiratory Physicians Corp | Internal Medicine | 18111 Brookhurst St Ste 4600, Fountain Valley, CA 92708 | 2018-06-07 |
| 1992297881 | Ereny Abdelmalak Metry | Pharmacist | 9064 Daffodil Ave, Fountain Valley, CA 92708 | 2018-06-06 |
| 1144746348 | Goose Pharma, LLC | Pharmacy | 18049 Magnolia Street, Fountain Valley, CA 92708 | 2017-08-18 |
| 1932622347 | Mayra Alejandra Guerra | Social Worker | 18350 Mt Langley St, Suite 200, Fountain Valley, CA 92708 | 2017-07-18 |
| 1942722129 | Graph Surgery Inc | Plastic Surgery | 10760 Warner Ave, Ste 201, Fountain Valley, CA 92708 | 2017-07-10 |
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| Find all providers in zip 92708 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467071 | Hoai Thi Thanh Tran, Od, Inc | Optometrist | 15972 Euclid St Ste G, Fountain Valley, CA 92708-1133 | 2020-05-04 |
| 1760971402 | Vu Nguyen | Optometrist | 17230 Newhope St Apt 104, Fountain Valley, CA 92708-8211 | 2018-05-08 |
| 1790190494 | Jacqueline Yen-chi Vu | Optometrist | 18426 Brookhurst St Ste 103, Fountain Valley, CA 92708-6777 | 2014-06-23 |
| 1184920183 | Vision Care | Optometrist | 11075 Warner Ave, Fountain Valley, CA 92708-4007 | 2011-02-08 |
| 1942465968 | Patrick Shuenchung Lee | Optometrist | 18045 Magnolia St, Fountain Valley, CA 92708-5638 | 2008-07-21 |
| 1760527311 | Tra Mi Thi Truong | Optometrist | 9430 Warner Ave Ste M, Fountain Valley, CA 92708 | 2007-02-21 |
| 1225171713 | Van Tuyet Ly | Optometrist | 16349 Harbor Blvd, Fountain Valley, CA 92708-1311 | 2007-02-14 |
| 1528131075 | Yvonne Van Anh To | Optometrist | 10968 Warner Ave, Fountain Valley, CA 92708-3853 | 2006-11-15 |
| 1760569834 | Hironobu Mori | Optometrist | 18113 Magnolia St, Fountain Valley, CA 92708-5647 | 2006-11-01 |
| 1639251374 | Pantea Meghdadi | Optometrist | 18449 Brookhurst St Ste 6, Fountain Valley, CA 92708-6751 | 2006-10-20 |
| Find all providers in FOUNTAIN VALLEY | ||||
| City | FOUNTAIN VALLEY |
| Zip Code | 92708 |
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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.