Los Angeles Vision Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LOS ANGELES VISION INSTITUTE

Practice address

8635 W 3Rd St Ste 360W
Los Angeles, CA 90048-6149

Phone

(310) 657-2777

Fax

(310) 657-0356

NPI assigned

Nov 30, 2023

Organization subpart

No

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

Authorized official

Name

Jonathon Macy

Title

Owner/Managing Partner

Phone

(310) 657-2777

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Jonathan I Macy M D Inc

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1386745669

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexander Knezevic, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1841671153
  Medicare reassignment Care Compare group NPD
• David B. Lazar, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Los Angeles, CA
  • NPI 1417242975
  Medicare reassignment Care Compare group NPD
• Jonathan Isaac Macy, MD

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1922020205
  Medicare reassignment Care Compare group NPD
• Yasaman Mahdavi

  • Optometrist
  • Marina del Rey, CA
  • NPI 1487487054

  Clinic/Center

  Medicare reassignment Care Compare group NPD
• Nikta Sinai, O.D.

  • Optometrist
  • Palmdale, CA
  • NPI 1316297328
  Medicare reassignment Care Compare group NPD
• Kimberly Cohen, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1699842013
  NPD (past)

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1043086119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 360W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486149",
            "telephone_number": "310-657-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 360W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486149",
            "telephone_number": "310-657-2777",
            "fax_number": "310-657-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES VISION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "MACY",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "310-657-2777"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.