Active NPI
Southern California Eye Center
- Corneal and Contact Management Optometrist
- Los Angeles, CA
National Provider Identifier
1174990345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- Legal business name
- SOUTHERN CALIFORNIA EYE CENTER
- Practice address
- 1414 S Grand Ave
Suite 105
Los Angeles, CA 90015-3067 - Phone
- (213) 749-5555
- NPI assigned
- Aug 24, 2015
- Last updated
- Aug 24, 2015
- 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
- Cindy Ange
- Title
- Owner
- Phone
- (310) 279-3713
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | NU | Primary |
Addresses
Primary practice location
1414 S Grand Ave
Suite 105
Los Angeles, CA 90015-3067
Mailing address
1515 7TH St
#36
Santa Monica, CA 90401-2605
National Provider Directory
National Provider DirectoryLocations
1515 7th St
#36
Santa Monica, CA 90401
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Ophthalmology Physician
- Torrance, CA
- NPI 1912968496
-
- Ophthalmology Physician
- Torrance, CA
- NPI 1164721619
-
- Ophthalmology Physician
- Torrance, CA
- NPI 1972555142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440374400000",
"number": "1174990345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 7TH ST",
"address_2": "#36",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904012605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 S GRAND AVE",
"address_2": "SUITE 105",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153067",
"telephone_number": "213-749-5555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN CALIFORNIA EYE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-24",
"last_updated": "2015-08-24",
"status": "A",
"authorized_official_last_name": "ANGE",
"authorized_official_first_name": "CINDY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-279-3713"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.