Organization Active NPI

Ophthalmology Corporation

  • Ophthalmology Physician
  • Long Beach, CA
National Provider Identifier
1245414960
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OPHTHALMOLOGY CORPORATION
Practice address
2840 Long Beach Blvd
Suite #330
Long Beach, CA 90806-1516
Phone
(562) 427-0700
Fax
(562) 427-2525
NPI assigned
Dec 18, 2007
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Julia Song, MDNPI 1982629010
Title
Ophthalmology Glaucoma
Phone
(847) 922-2288

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2840 Long Beach Blvd
Suite #330
Long Beach, CA 90806-1516

Mailing address

PO Box 3187
Cerritos, CA 90703-3187
Phone (847) 922-2288

National Provider Directory

National Provider Directory

Locations

9535 Garden Grove Blvd
Ste 104
Garden Grove, CA 92844
Phone (714) 534-1112

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1245414960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3187",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907033187",
            "telephone_number": "847-922-2288",
            "fax_number": "562-427-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 LONG BEACH BLVD",
            "address_2": "SUITE #330",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061516",
            "telephone_number": "562-427-0700",
            "fax_number": "562-427-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "OPHTHALMOLOGY GLAUCOMA",
        "authorized_official_telephone_number": "847-922-2288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.