NPIMap

Organization Active NPI

Lakewood Eye Physicians and Surgeons Inc a Medical Group

  • Specialist
  • Los Alamitos, CA
National Provider Identifier
1457548992
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
Practice address
3801 Katella Ave
Suite 130
Los Alamitos, CA 90720-3338
Phone
(562) 598-7728
Fax
(562) 598-4209
NPI assigned
Sep 28, 2007
Organization subpart
Yes
Parent organization
LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Mrs. Caroline Barragan
Title
Accounting/Credentialing
Phone
(562) 531-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CA Primary

Addresses

Primary practice location

3801 Katella Ave
Suite 130
Los Alamitos, CA 90720-3338

Mailing address

3801 Katella Ave
Suite 130
Los Alamitos, CA 90720-3338
Phone (562) 531-2020

Other names 1

  • LOS ALAMITOS EYE PHYSICIANS & SURGEONS INC Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041109000521 CA Part B Supplier - Clinic/Group Practice 4789647983 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: Lakewood, CA; Los Alamitos, CA
O20100930054681 CA DME Supplier - Physician - Optometrist 4789647983 Practice locations: Los Alamitos, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Los Alamitos Eye Physicians3801 Katella Ave, Los Alamitos, CA 90720-3362(562) 598-7728 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Jan 1, 1988

National Provider Directory

National Provider Directory
Tax ID family
Lakewood Eye Physicians and3 organizations share this tax ID, including this one
Part of
Lakewood Eye Physicians and

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1457548992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 130",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-531-2020",
            "fax_number": "562-531-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE",
            "address_2": "SUITE 130",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203338",
            "telephone_number": "562-598-7728",
            "fax_number": "562-598-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP",
        "enumeration_date": "2007-09-28",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "BARRAGAN",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "ACCOUNTING/CREDENTIALING",
        "authorized_official_telephone_number": "562-531-2727",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOS ALAMITOS EYE PHYSICIANS & SURGEONS INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.