NPIMap

Organization Active NPI

Advanced Eye Specialists, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Reseda, CA
National Provider Identifier
1376163337
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
Legal business name
ADVANCED EYE SPECIALISTS, LLC
Practice address
17750 Sherman Way Ste 100
Reseda, CA 91335-8331
Phone
(818) 886-6700
Fax
(818) 886-6709
NPI assigned
Apr 20, 2020
Last updated
Apr 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Sanjay Logani, MDNPI 1124131958
Title
Ceo/Owner
Phone
(818) 886-6700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X NU Primary

Addresses

Primary practice location

17750 Sherman Way Ste 100
Reseda, CA 91335-8331

Mailing address

17750 Sherman Way Ste 100
Reseda, CA 91335-8331
Phone (818) 886-6700

Other practice location 1

351 S B St
Oxnard, CA 93030-5806
Phone (805) 240-1650

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1376163337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17750 SHERMAN WAY STE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358331",
            "telephone_number": "818-886-6700",
            "fax_number": "818-886-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17750 SHERMAN WAY STE 100",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913358331",
            "telephone_number": "818-886-6700",
            "fax_number": "818-886-6709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 S B St",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930305806",
            "country_code": "US",
            "telephone_number": "805-240-1650",
            "fax_number": "805-240-1653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED EYE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "LOGANI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-886-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.