Eric Brian Ige, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10529T Issued in CA

Practice address

17523 Crenshaw Blvd
Torrance, CA 90504-3403

Phone

(310) 327-9693

Fax

(310) 327-9699

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316022262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17523 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043403",
            "telephone_number": "310-327-9693",
            "fax_number": "310-327-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17523 CRENSHAW BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905043403",
            "telephone_number": "310-327-9693",
            "fax_number": "310-327-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGE",
        "first_name": "ERIC",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10529T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0105290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Id Med
• Id Med a Medical Corporation
• Alan K Igasaki, DDS
• Cory David Igasaki, DDS
• Howard Igasaki, DDS
• Alfie Jay Ignacio, F.N.P.
• Kristin Anne Dionisio Ignacio, PHARMD
• Pamela Dauz-de Vivar Ignisaban
• Chukwuemeka-Chika Cullen Iguh, STUDENT
• Uchechukwu Igwe, PMHNP-BC

• Optometrist in Torrance, CA
• Providers in Torrance, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.