Los Angeles Vision Center, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LOS ANGELES VISION CENTER, INC.

Doing business as

Los Angeles Vision Center, Inc.

Practice address

9808 Venice Blvd
Suite 400
Culver City, CA 90232-2732

Phone

(310) 838-0202

Fax

(310) 838-8694

NPI assigned

Jul 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Krivoy, M.D.NPI 1679531974

Title

President

Phone

(310) 838-0202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Los Angeles Vision Center, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• Direct secure messaging: dpark@aei.intellechartdirect.net

Practitioners 5

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.

• Daniel Krivoy, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Culver City, CA
  • NPI 1679531974
  Medicare reassignment Care Compare group Authorized official
• Doreen T Fazio, M.D.

  • Ophthalmology Physician
  • Van Nuys, CA
  • NPI 1831194398
  Medicare reassignment Care Compare group NPD
• Daniel Park

  • Ophthalmology Physician
  • Culver City, CA
  • NPI 1558866798
  Medicare reassignment Care Compare group NPD
• Eduardo Besser, M.D.

  • Ophthalmology Physician
  • Culver City, CA
  • NPI 1972561280
  Medicare reassignment Care Compare group
• Valentina Lozano

  • Glaucoma Specialist (Ophthalmology) Physician
  • Culver City, CA
  • NPI 1659752079
  Medicare reassignment NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275566267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "SUITE 400",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-838-0202",
            "fax_number": "310-838-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9808 VENICE BLVD",
            "address_2": "SUITE 400",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322732",
            "telephone_number": "310-838-0202",
            "fax_number": "310-838-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIVOY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-838-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "ZZZ66738Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Los Angeles Vision Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Los Angeles County Department of Mental Health (Edelman Westside MHC - FSP)
• Los Angeles County Department of Mental Health (Edmund D. Edelman Westside MHC)
• Los Angeles Outpatient Center LLC
• Los Angeles Sleep Disorders Group
• Los Angeles Speech and Language Therapy Center Inc
• Sara Loughlin, M.S.W.
• Twyla Louis
• Meliz Fatman Louy
• Lovaas Institute for Early Intervention (Lovaas Institute)
• Lovaas Institute for Early Intervention

• 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 22, 2020; 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.