Organization Active NPI

Southland Eye Care Associates Inc

  • Ophthalmology Physician
  • Fountain Valley, CA
National Provider Identifier
1487855896
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOUTHLAND EYE CARE ASSOCIATES INC
Practice address
18837 Brookhurst St
Suite 110
Fountain Valley, CA 92708-7301
Phone
(714) 378-0333
Fax
(714) 378-0858
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Lee H Novick, M.D.
Title
President
Phone
(714) 378-0333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

18837 Brookhurst St
Suite 110
Fountain Valley, CA 92708-7301

Mailing address

18837 Brookhurst St
Suite 110
Fountain Valley, CA 92708-7301
Phone (714) 378-0333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1487855896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18837 BROOKHURST ST",
            "address_2": "SUITE 110",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087301",
            "telephone_number": "714-378-0333",
            "fax_number": "714-378-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18837 BROOKHURST ST",
            "address_2": "SUITE 110",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087301",
            "telephone_number": "714-378-0333",
            "fax_number": "714-378-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND EYE CARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "NOVICK",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-378-0333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.