NPIMap

Organization Active NPI

Seal Beach Eyes Optometry Inc

  • Optometrist
  • Seal Beach, CA
National Provider Identifier
1124171566
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SEAL BEACH EYES OPTOMETRY INC
Practice address
1190 Pacific Coast Hwy
Suite E
Seal Beach, CA 90740-6247
Phone
(562) 431-2031
Fax
(562) 594-0479
NPI assigned
Jan 19, 2007
Last updated
Jun 23, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
SEAL BEACH EYES OPTOMETRY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
William Randolph Hill, O.D.NPI 1568539146
Title
Owner Partner
Phone
(562) 431-2031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1190 Pacific Coast Hwy
Suite E
Seal Beach, CA 90740-6247

Mailing address

1190 Pacific Coast Hwy
Suite E
Seal Beach, CA 90740-6247
Phone (562) 431-2031

National Provider Directory

National Provider Directory
Part of
Seal Beach Eyes Optmtry Inc

Locations

1029 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 431-2031

1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1124171566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 PACIFIC COAST HWY",
            "address_2": "SUITE E",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406247",
            "telephone_number": "562-431-2031",
            "fax_number": "562-594-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 PACIFIC COAST HWY",
            "address_2": "SUITE E",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406247",
            "telephone_number": "562-431-2031",
            "fax_number": "562-594-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAL BEACH EYES OPTOMETRY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEAL BEACH EYES OPTOMETRY INC",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "OWNER PARTNER",
        "authorized_official_telephone_number": "562-431-2031",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.