Beach Cities Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

COR900 Issued in CA

Legal business name

BEACH CITIES OPTOMETRY, INC.

Practice address

1103 Highland Ave
Manhattan Beach, CA 90266-5310

Phone

(310) 376-8975

NPI assigned

Feb 13, 2006

Last updated

Oct 26, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Stahl, O.D.NPI 1639143936

Title

Vice President

Phone

(310) 376-8975

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin James Melendrez, O.D.

  • Optometrist
  • Manhattan Beach, CA
  • NPI 1609820596
  Medicare reassignment NPD
• Robert J. Stahl, O.D.

  • Optometrist
  • Gardena, CA
  • NPI 1639143936
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1023082690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 HIGHLAND AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665310",
            "telephone_number": "310-376-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 HIGHLAND AVE",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665310",
            "telephone_number": "310-376-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACH CITIES OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "310-376-8975",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "COR900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Barnard, MD
• Shelby Elizabeth Barnes
• Robert C. Bates, D.C.
• Keith Robin Bayan, M.D.
• Bco Surgical Center, LLC
• Beach Cities Orthopedics & Sports Medicine, Inc, a Medical Corporation
• Beach Cities Orthopedics and Sports Medicine
• Beach Cities Orthopedics Surgery Center, LLC
• Beach Cities Speech Therapy LLC
• Beach Life Chiropractic

• Optometrist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.