Eye Treatment Center, an Incorporated Medical Group, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G72572 Issued in CA

Legal business name

EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC

Practice address

3900 Long Beach Blvd
Long Beach, CA 90807-2615

Phone

(562) 988-8668

Fax

(562) 988-8660

NPI assigned

Jun 9, 2005

Last updated

Mar 18, 2016By 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

Irene F Sasaki, M.D.NPI 1245234178

Title

President/Ceo

Phone

(562) 988-8668

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Tax ID family

Merrill M Kn0Pf MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Treatment Center, an Incorporated Medical Group, Inc

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1891026969
  NPD tax ID

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Interoperability endpoints

• Direct secure messaging: amok@etc.intellechartdirect.net
• Direct secure messaging: isasaki@etc.intellechartdirect.net
• Direct secure messaging: lbei@etc.intellechartdirect.net
• Direct secure messaging: mchan@etc.intellechartdirect.net
• Direct secure messaging: sgupta@etc.intellechartdirect.net
• Direct secure messaging: ssaba@etc.intellechartdirect.net

Practitioners 9

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.

• Irene F Sasaki, M.D.

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1245234178
  Medicare reassignment Care Compare group NPD Authorized official
• Ling Bei, MD

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1164740460
  Medicare reassignment Care Compare group NPD
• May Chan, O.D.

  • Optometrist
  • Ventura, CA
  • NPI 1891179545
  Medicare reassignment Care Compare group NPD
• Shalu Gupta, M.D.

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1518187202
  Medicare reassignment Care Compare group NPD
• Audrey Chen Mok, MD

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1134188519
  Medicare reassignment Care Compare group NPD
• Alma Leoneli Fuentes, OD

  • Optometrist
  • Long Beach, CA
  • NPI 1316493158
  Medicare reassignment NPD
• Rodrigo J Torres, MD

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1578651584
  Medicare reassignment NPD
• Hans Peter Steimann, O.D.

  • Optometrist
  • Yorba Linda, CA
  • NPI 1801069505
  Medicare reassignment
• Steven Mark Saba, OD

  • Optometrist
  • Garden Grove, CA
  • NPI 1457962524
  NPD

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1427052190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072615",
            "telephone_number": "562-988-8668",
            "fax_number": "562-988-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 LONG BEACH BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072615",
            "telephone_number": "562-988-8668",
            "fax_number": "562-988-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "SASAKI",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "562-988-8668",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G72572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Extended Arms, LLC.
• Extended Health Care, Inc
• Extending Hands Unlimited (Extending Hands In Home Care Services)
• Eye Physicians of Long Beach a Medical Group Inc (none)
• Eye Physicians of Long Beach a Medical Group Inc.
• Eye Treatment Center, an Incorporated Medical Group, Inc
• Eyecare Specialists Medical Group, Inc (Atlantis Eyecare)
• Kaitlyn Eyles, RN
• Chinyelu A. Eze
• Charles Nnamdi Ezeaka, MD

• Ophthalmology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.