Active NPI
Fullerton Eye Center Medical Group
- Ophthalmology Physician
- Fullerton, CA
National Provider Identifier
1487795506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- FULLERTON EYE CENTER MEDICAL GROUP
- Practice address
- 1321 N Harbor Blvd Ste 300
Fullerton, CA 92835-4131 - Phone
- (714) 879-0024
- Fax
- (714) 526-2020
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William D Mosier, MD
- Title
- Owner
- Phone
- (714) 879-0025
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1321 N Harbor Blvd Ste 300
Fullerton, CA 92835-4131
Mailing address
1321 N Harbor Blvd Ste 304
Fullerton, CA 92835-4131
Phone (714) 879-0024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00W152260 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1321 N Harbor Blvd
#304
Fullerton, CA 92835
Phone (714) 879-0023
1321 N Harbor Blvd
Ste 304
Fullerton, CA 92835
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Fullerton, CA
- NPI 1063553378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1487795506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 N HARBOR BLVD STE 304",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354131",
"telephone_number": "714-879-0024",
"fax_number": "714-526-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 N HARBOR BLVD STE 300",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354131",
"telephone_number": "714-879-0024",
"fax_number": "714-526-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULLERTON EYE CENTER MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "MOSIER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-879-0025",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00W152260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
- Fullerton Chest and Crtitical Care Inc
- Fullerton Community Counseling
- Fullerton Counseling and Medical Group, Inc
- Fullerton Dialysis Center LLC
- Fullerton Elementary School District
- Fullerton Eye Medical Center
- Fullerton Gardens, LLC
- Fullerton GYN Assoc.
- Fullerton Healthcare & Wellness Centre, LP
- Fullerton Healthcare, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.