Organization Active NPI

Premium Eye Diagnostic Center LLC

  • Ophthalmology Physician
  • Whittier, CA
National Provider Identifier
1265770663
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PREMIUM EYE DIAGNOSTIC CENTER LLC
Practice address
7957 Painter Ave
Suite 102
Whittier, CA 90602-2434
Phone
(310) 638-9391
Fax
(310) 603-8749
NPI assigned
Jan 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Authorized official

Name
Mr. Carl F Milkie Jr.
Title
Business Manager
Phone
(310) 638-9391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

7957 Painter Ave
Suite 102
Whittier, CA 90602-2434

Mailing address

7957 Painter Ave
Suite 102
Whittier, CA 90602-2434
Phone (310) 638-9391

National Provider Directory

National Provider Directory

Locations

7957 Painter Ave
Ste 102
Whittier, CA 90602
Phone (310) 638-9391

NPI Registry JSON

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1265770663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7957 PAINTER AVE",
            "address_2": "SUITE 102",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022434",
            "telephone_number": "310-638-9391",
            "fax_number": "310-603-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7957 PAINTER AVE",
            "address_2": "SUITE 102",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022434",
            "telephone_number": "310-638-9391",
            "fax_number": "310-603-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM EYE DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "MILKIE",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "310-638-9391",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

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