Miramar Lynn Medical Group Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MIRAMAR LYNN MEDICAL GROUP INC

Practice address

2230 Lynn Rd
Ste 102
Thousand Oaks, CA 91360-1901

Phone

(805) 495-0458

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Joel Michael Corwin, MD

Title

President

Phone

(805) 648-3085

Specialties & licenses 1

Addresses

Other names 1

• Lynn Eye Medical Group Doing business as

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1043631419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 LOMA VISTA RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032916",
            "telephone_number": "805-648-3085",
            "fax_number": "805-584-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LYNN RD",
            "address_2": "STE 102",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913601901",
            "telephone_number": "805-495-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAMAR LYNN MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "CORWIN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-648-3085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynn Eye Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mindful Therapy Services
• Izik Nelson Mineros
• Paul T Minne, PHARM.D.
• Alan C Mintz, MD
• Beacon Miodovsky, CMT
• Justin Miranda
• Mercedeh Mirhosseini
• Mehran Mirkazemi, D.O.
• Jaime Mitchell, MS
• Jeanette Kamell Mitchell, MD

• Ophthalmology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Ophthalmology Physician in California

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