EYECARE SPECIALISTS MEDICAL GROUP, INC. (NPI# 1922529700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922529700 |
| Entity Type | Organization |
| Organization Name | EYECARE SPECIALISTS MEDICAL GROUP, INC. |
| Other Organization Name | ATLANTIS EYECARE |
| Practice Address |
490 Post St Ste 933 San Francisco CA 94102-1414 |
| Mailing Address |
1595 E 17th St Santa Ana CA 92705-8506 |
| Practice Telephone | 4154331600 |
| Practice Fax Number | 4158341444 |
| Mailing Telephone | 7143990678 |
| Mailing Fax Number | 7142766489 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |
| Authorized Official Name | DR. DWAYNE K LOGAN (PRESIDENT) |
| Authorized Official Telephone | 7143990678 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G68583 | 05 |
| 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 |
| 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 |
| 1750488169 | Eyecare Specialists Medical Group, Inc. | Optometrist | 7677 Center Ave, Suite 301, Huntington Beach, CA 92647-3074 | 2006-09-20 |
| 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 |
490 POST ST STE 933 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94102-1414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154655090 | Anga Lao | Audiologist | 490 Post St Ste 933, San Francisco, CA 94102-1414 | 2009-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849318 | Alvin Vallejo | Registered Nurse | 30 Van Ness, Suite 2300, San Francisco, CA 94102 | 2020-04-07 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1790342368 | Emma Victoria Mc Arthur | Acupuncturist | 364 Hayes Street, Second Floor, San Francisco, CA 94102 | 2019-05-20 |
| 1265926489 | Sharon Lee Haynes | Counselor | 711 Van Ness Ave Ste 500, San Francisco, CA 94102 | 2018-06-20 |
| 1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
| 1700395456 | Faiza Saeed | Community Health Worker | 315 Turk Street, San Francisco, CA 94102 | 2017-09-26 |
| 1093255184 | Abigail Roh | Counselor | 50 Ivy St., San Francisco, CA 94102 | 2017-03-08 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1841744505 | Kyra Lee | Dentist | 490 Post St Ste 1450, San Francisco, CA 94102 | 2016-08-11 |
| 1255702528 | Jins Eyewear Us, Inc. | Technician/Technologist | 151 Powell St., San Francisco, CA 94102 | 2015-10-13 |
| Find all providers in zip 94102 | ||||
| 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 |
|---|---|---|---|---|
| 1487283776 | Ervin Wong Md Inc | Ophthalmology | 728 Pacific Ave Ste 506, San Francisco, CA 94133-4449 | 2020-04-07 |
| 1841858594 | Pacific Vision Surgery Center LLC | Ophthalmology | 711 Van Ness Ave Ste 260, San Francisco, CA 94102-3272 | 2019-05-29 |
| 1760839948 | Amol Ashwin Sura | Ophthalmology | 95 Kirkham St Fl 2, San Francisco, CA 94122-3814 | 2016-05-18 |
| 1316308257 | Laila Lofty Basta | Ophthalmology | 765 Market Street, Apartment 35a, San Francisco, CA 94103-2041 | 2016-03-18 |
| 1972964971 | Khalid Fuad Tabbara | Ophthalmology | 155 Miraloma Dr, San Francisco, CA 94127-1642 | 2016-03-17 |
| 1265815955 | Cityview Eye Center, A Medical Corporation | Ophthalmology | 929 Clay St Ste 405, San Francisco, CA 94108-1556 | 2015-06-30 |
| 1396124889 | Elizabeth Shen | Ophthalmology | 2211 Bush St Fl 2, San Francisco, CA 94115-3121 | 2015-05-29 |
| 1033503966 | Miel Sundararajan | Ophthalmology | Proctor Medical Group, 95 Kirkham Street, San Francisco, CA 94143 | 2015-03-28 |
| 1740673466 | Anthony Moore | Ophthalmology | 10 Koret Way K 304a, San Francisco, CA 94143-0001 | 2015-03-05 |
| 1578955175 | Ucsf School of Medicine | Ophthalmology | 10 Koret Way K304, San Francisco, CA 94143-0001 | 2015-02-19 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94102 |
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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.