EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC (NPI# 1891026969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891026969 |
| Entity Type | Organization |
| Organization Name | EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC |
| Practice Address |
1150 E 4th St Long Beach Senior Center Long Beach CA 90802-1735 |
| Mailing Address |
1045 Atlantic Ave Ste 1007 Long Beach CA 90813-3413 |
| Practice Telephone | 5625703500 |
| Mailing Telephone | 5624364558 |
| Mailing Fax Number | 5624370079 |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-03-02 |
| Authorized Official Name | IRENE SASAKI (PRESIDENT) |
| Authorized Official Telephone | 5624364558 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | G72572 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052190 | Eye Treatment Center, An Incorporated Medical Group, Inc | Ophthalmology | 3900 Long Beach Blvd, Long Beach, CA 90807-2615 | 2005-06-09 |
| Street Address |
1150 E 4TH ST LONG BEACH SENIOR CENTER |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90802-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981791 | Nena Danieles Meador | Technician | 505 West 5th St. Unit 201, Long Beach, CA 90802 | 2019-09-17 |
| 1881241487 | Edward De La Cruz | Technician | 425 E 3rd St., 413, Long Beach, CA 90802 | 2019-08-20 |
| 1992350094 | Kaitlyn May Saephan | Student in an Organized Health Care Education/Training Program | 200 Pine Avenue, Suite 400, Long Beach, CA 90802 | 2019-08-06 |
| 1073175881 | David Coleman | Counselor | 735 West 4th St, Unit D, Long Beach, CA 90802 | 2019-07-01 |
| 1235612193 | Linda Nyagaya | Nurse Practitioner | 200 Oceangate, Suite 100 Long Beach, Ca 90802, Long Beach, CA 90802 | 2018-09-06 |
| 1669998670 | Jessica Huerta | Student in an Organized Health Care Education/Training Program | 456 Elm, Long Beach, CA 90802 | 2017-08-22 |
| 1316462484 | Kathlyn Pearl Parlet | Counselor | 351 E. 6th. Street, Long Beach, CA 90802 | 2017-08-09 |
| 1386168136 | Shena Young | Psychologist | 404 East First St #1191, Long Beach, CA 90802 | 2017-08-02 |
| 1215472758 | Vanessa Pons | Marriage & Family Therapist | 735 W 4th St Unit A, Long Beach, CA 90802 | 2016-12-19 |
| 1821459330 | Surabhi Shah | Occupational Therapist | 330 Golden Shores, Suite 250, Long Beach, CA 90802 | 2016-03-10 |
| Find all providers in zip 90802 | ||||
| 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 |
|---|---|---|---|---|
| 1649565920 | Morgan E Renner | Ophthalmology | 3816 Woodruff Ave Ste 100, Long Beach, CA 90808-2145 | 2011-06-14 |
| 1851620959 | Rmg, Apc | Ophthalmology | 5471 E The Toledo, Long Beach, CA 90803-3953 | 2009-12-18 |
| 1619165446 | Hertzog Eye Associates A Medical Corporation | Ophthalmology | 5094 E Los Coyotes Diagonal, Long Beach, CA 90815-2839 | 2007-10-05 |
| 1053514166 | Houck Eye Care and Refractive Surgery Center, PC | Ophthalmology | 2940 Mount Clair Way, Long Beach, IN 46360-1769 | 2007-06-06 |
| 1396840708 | Bruce A Fastenberg | Ophthalmology | 260 West Broadway, Suite 6f, Long Beach, NY 11561 | 2006-09-13 |
| 1710093083 | Carlos Enrique Martinez | Ophthalmology | 3325 Palo Verde Avenue, Suite 103, Long Beach, CA 90808-4132 | 2006-08-21 |
| 1902837941 | Eyecare Specialists Medical Group | Ophthalmology | 5991 E Spring St, Long Beach, CA 90808-3752 | 2006-07-06 |
| 1508897893 | H L Sulit Medical Professional Corp | Ophthalmology | 825 Pacific Ave, Long Beach, CA 90813-4225 | 2006-07-05 |
| 1104827591 | Herbert C Henken | Ophthalmology | 511 E Park Ave, Long Beach, NY 11561-3741 | 2005-08-09 |
| 1568468106 | Stephen Andrew Wigginton | Ophthalmology | 709 E Anaheim St, Long Beach, CA 90813-3507 | 2005-06-27 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90802 |
Please comment or provide details below to improve the information on EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC.
| 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.