Organization Active NPI

Laser Eye Center Inc

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1417442500
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LASER EYE CENTER INC
Practice address
1127 Wilshire Blvd Ste 1209
Los Angeles, CA 90017-4003
Phone
(213) 250-8888
Fax
(213) 250-7910
NPI assigned
Jun 29, 2018
Last updated
Jun 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Authorized official

Name
Abraham Shammas, MD
Title
President
Phone
(213) 250-8888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1127 Wilshire Blvd Ste 1209
Los Angeles, CA 90017-4003

Mailing address

1127 Wilshire Blvd Ste 1216
Los Angeles, CA 90017-4003
Phone (213) 223-0130

National Provider Directory

National Provider Directory

Locations

5363 Balboa Blvd
Ste 141
Encino, CA 91316
Phone (818) 728-0440

Practitioners & affiliated clinicians

Practitioners 3

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": "1530230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530230400000",
    "number": "1417442500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1216",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174003",
            "telephone_number": "213-223-0130",
            "fax_number": "213-223-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 WILSHIRE BLVD STE 1209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174003",
            "telephone_number": "213-250-8888",
            "fax_number": "213-250-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A",
        "authorized_official_last_name": "SHAMMAS",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-250-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.