Organization Active NPI

Fullerton Eye Center Medical Group

  • Ophthalmology Physician
  • Fullerton, CA
National Provider Identifier
1487795506
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Dr. William D Mosier, MDNPI 1063553378
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00W152260MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.