Organization Active NPI

Caster Eye Center Medical Group

  • Ophthalmology Physician
  • Beverly Hills, CA
National Provider Identifier
1043493133
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G45953 Issued in CA
Legal business name
CASTER EYE CENTER MEDICAL GROUP
Practice address
9100 Wilshire Blvd.
Suite 265-E
Beverly Hills, CA 90212-3440
Phone
(310) 274-1221
Fax
(310) 274-0244
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Andrew I Caster, M.D.NPI 1821133067
Title
President
Phone
(310) 274-1221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G45953 CA Primary

Addresses

Primary practice location

9100 Wilshire Blvd.
Suite 265-E
Beverly Hills, CA 90212-3440

Mailing address

9100 Wilshire Blvd.
Suite 265-E
Beverly Hills, CA 90212-3440
Phone (310) 274-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050803001269 CA Part B Supplier - Clinic/Group Practice 2567490147 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1043493133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD.",
            "address_2": "SUITE 265-E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123440",
            "telephone_number": "310-274-1221",
            "fax_number": "310-274-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 WILSHIRE BLVD.",
            "address_2": "SUITE 265-E",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123440",
            "telephone_number": "310-274-1221",
            "fax_number": "310-274-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTER EYE CENTER MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "CASTER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-274-1221",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G45953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.