Dr. Elliott Caine Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

6005T Issued in CA

Legal business name

DR. ELLIOTT CAINE OPTOMETRY, INC

Practice address

5016 York Blvd
Los Angeles, CA 90042-1714

Phone

(323) 258-2242

NPI assigned

Sep 4, 2012

Last updated

Feb 14, 2013By 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. Elliott John Caine, ODNPI 1558355040

Title

Owner

Phone

(323) 258-2242

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Elliott J Caine, O.D

  • Optometrist
  • Los Angeles, CA
  • NPI 1558355040
  Medicare reassignment NPD Authorized official
• Berthold Caine, OD

  • Optometrist
  • Los Angeles, CA
  • NPI 1275352163
  NPD

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1326397571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421714",
            "telephone_number": "323-258-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 YORK BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900421714",
            "telephone_number": "323-258-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ELLIOTT CAINE OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-04",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "CAINE",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-258-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6005T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.