Luke W. Deitz M.D., a Professional Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LUKE W. DEITZ M.D., A PROFESSIONAL CORPORATION

Doing business as

Singular Vision Center

Practice address

6101 W Centinela Ave Ste 170
Culver City, CA 90230-6350

Phone

(410) 428-3705

NPI assigned

Apr 11, 2023

Organization subpart

No

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

Authorized official

Name

Luke Deitz, MDNPI 1871796276

Title

President

Phone

(410) 428-3705

Specialties & licenses 1

Addresses

Other names 1

• Singular Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Luke Wahl Deitz, M.D.

  • Ophthalmology Physician
  • Culver City, CA
  • NPI 1871796276
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1255027546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 OCEAN PARK BLVD # A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904053612",
            "telephone_number": "410-428-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W CENTINELA AVE STE 170",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306350",
            "telephone_number": "410-428-3705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 S San Vicente Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900484616",
            "country_code": "US",
            "telephone_number": "410-428-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUKE W. DEITZ M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "DEITZ",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-428-3705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Singular Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Singular Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jorge Luis Bermudez, AMFT
• Godofredo Luis
• Isaac Luis
• Tyler Austen Luis
• John Frank Lujan
• Cari Lukowski
• Beatriz Celeste Luna
• Monique Luna
• Stephanie Luna, MSW
• Ulises Kevin Luna

• Ophthalmology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.