Eye Max Optometry Wilshire, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

8482T Issued in CA

Legal business name

EYE MAX OPTOMETRY WILSHIRE, INC

Practice address

3359 Wilshire Blvd
Los Angeles, CA 90010-1803

Phone

(213) 382-2777

Fax

(213) 382-6777

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Erin Suk-Kyung Han, O.D.

Title

President

Phone

(213) 382-2777

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1043317068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101803",
            "telephone_number": "213-382-2777",
            "fax_number": "213-382-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3359 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101803",
            "telephone_number": "213-382-2777",
            "fax_number": "213-382-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MAX OPTOMETRY WILSHIRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "SUK-KYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-382-2777",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8482T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0084820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Extein
• Extera Public Schools
• Extraordinary Options
• Eye Geeks Doctors of Optometry
• Eye Max Optics Inc
• Eye Surgical Medical Group, Inc
• Eye-Mate Optical
• Eye4Peace LLC
• Eyecare Medical Corporation
• Eyecare Specialists Medical Group, Inc.

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.