Eric B Ige, OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10529T Issued in CA

Legal business name

ERIC B IGE, OD, INC.

Practice address

17523 Crenshaw Blvd
Torrance, CA 90504-3403

Phone

(310) 327-9693

Fax

(310) 327-9699

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Eric Ige, O.D.

Title

President

Phone

(310) 327-9693

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1043487291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17523 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043403",
            "telephone_number": "310-327-9693",
            "fax_number": "310-327-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17523 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043403",
            "telephone_number": "310-327-9693",
            "fax_number": "310-327-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC B IGE, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "IGE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-327-9693",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10529T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.