Organization Active NPI

Lobue Laser and Eye Care Medical Center Inc

  • Ophthalmology Physician
  • Murrieta, CA
National Provider Identifier
1336178185
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G598470 Issued in CA
Legal business name
LOBUE LASER AND EYE CARE MEDICAL CENTER INC
Practice address
40700 California Oaks Rd
Suite 106
Murrieta, CA 92562-5789
Phone
(951) 696-1135
Fax
(951) 304-9068
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
Thomas David Lobue, MDNPI 1306887435
Title
President
Phone
(951) 696-1135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G598470 CA Primary

Addresses

Primary practice location

40700 California Oaks Rd
Suite 106
Murrieta, CA 92562-5789

Mailing address

40700 California Oaks Rd
Suite 106
Murrieta, CA 92562-5789
Phone (951) 696-1135

Other practice location 1

29950 Haun Rd Ste 206
Menifee, CA 92586-6527
Phone (951) 696-1135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000555 CA Part B Supplier - Clinic/Group Practice 3678462140 Receives reassigned benefits from 6 practitioners
Practice locations: Menifee, CA; Murrieta, CA; Temecula, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2112981Lobue Laser and Eye Medical Centers40700 California Oaks Rd Ste 106, Murrieta, CA 92562Certificate of waiverMay 11, 2028

National Provider Directory

National Provider Directory

Locations

1850 E Washington St
Colton, CA 92324
Phone (909) 233-7057

1800 E Washington St
Colton, CA 92324

29950 Haun Rd
Ste 206
Sun City, CA 92586
Phone (951) 679-0545

40945 Winchester Rd
#1
Temecula, CA 92591
Phone (909) 719-1670

40945 Winchester Rd
Temecula, CA 92591
Phone (951) 696-1135

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1336178185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD",
            "address_2": "SUITE 106",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-696-1135",
            "fax_number": "951-304-9068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40700 CALIFORNIA OAKS RD",
            "address_2": "SUITE 106",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625789",
            "telephone_number": "951-696-1135",
            "fax_number": "951-304-9068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29950 Haun Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925866527",
            "country_code": "US",
            "telephone_number": "951-696-1135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOBUE LASER AND EYE CARE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "LOBUE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-696-1135",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G598470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.