Organization Active NPI

Ira E Opatowsky MD Inc

  • Ophthalmology Physician
  • Lancaster, CA
National Provider Identifier
1437298759
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
IRA E OPATOWSKY MD INC
Practice address
42543 8TH St W
Ste 101
Lancaster, CA 93534-7200
Phone
(661) 948-4373
Fax
(661) 948-6216
NPI assigned
Feb 5, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Crystal Guzman
Title
Biller
Phone
(661) 948-4373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

42543 8TH St W
Ste 101
Lancaster, CA 93534-7200

Mailing address

42543 8TH St W
Ste 101
Lancaster, CA 93534-7200
Phone (661) 948-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050630001107 CA Part B Supplier - Clinic/Group Practice 9931145885 Receives reassigned benefits from 1 practitioner
Practice locations: Lancaster, CA
O20100930053740 CA DME Supplier - Physician - OptometristDME Supplier - Optician 9931145885 Practice locations: Lancaster, CA

National Provider Directory

National Provider Directory

Locations

44804 10th St W
Lancaster, CA 93534
Phone (661) 948-4373

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)…

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1437298759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42543 8TH ST W",
            "address_2": "STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347200",
            "telephone_number": "661-948-4373",
            "fax_number": "661-948-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42543 8TH ST W",
            "address_2": "STE 101",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935347200",
            "telephone_number": "661-948-4373",
            "fax_number": "661-948-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA E OPATOWSKY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "661-948-4373"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.