Active NPI
Eye Surgical & Medical Associates, Inc.
- Specialist
- Visalia, CA
National Provider Identifier
1124068523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 31645
- Legal business name
- EYE SURGICAL & MEDICAL ASSOCIATES, INC.
- Practice address
- 5021 W Noble Ave
Suite a
Visalia, CA 93277-8310 - Phone
- (559) 627-9393
- Fax
- (559) 627-1624
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael I Boone, M.D.
- Title
- Ceo
- Phone
- (559) 627-9393
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 31645 | CA | Primary |
Addresses
Primary practice location
5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Mailing address
5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone (559) 627-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040301000846 | CA | Part B Supplier - Clinic/Group Practice | 3072400431 |
Receives reassigned benefits from 6 practitioners Practice locations: Visalia, CA |
| O20100930011149 | CA | DME Supplier - Physician - General Practice | 3072400431 | Practice locations: Visalia, CA |
National Provider Directory
National Provider DirectoryLocations
202 W Willow Ave
Ste A
Visalia, CA 93291
Phone (209) 627-9393
Interoperability endpoints
- lrodriguez@esma.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 6
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": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1700265600000",
"number": "1124068523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5021 W NOBLE AVE",
"address_2": "SUITE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932778310",
"telephone_number": "559-627-9393",
"fax_number": "559-627-1624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5021 W NOBLE AVE",
"address_2": "SUITE A",
"city": "VISALIA",
"state": "CA",
"postal_code": "932778310",
"telephone_number": "559-627-9393",
"fax_number": "559-627-1624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE SURGICAL & MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2023-11-18",
"certification_date": "2023-11-18",
"status": "A",
"authorized_official_last_name": "BOONE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "559-627-9393",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "31645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.