Active NPI
Koharaeye, PC
- Ophthalmology Physician
- Culver City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- KOHARAEYE, PC
- Practice address
- 3831 Hughes Ave Ste 104
Culver City, CA 90232-6834 - Phone
- (323) 682-0289
- Fax
- (855) 538-9401
- NPI assigned
- Jan 3, 2018
- Last updated
- Sep 3, 2024
- 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. Eunice Maya Kohara, DO
- Title
- President
- Phone
- (323) 682-0289
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary | |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | NU |
Addresses
Primary practice location
3831 Hughes Ave Ste 104
Culver City, CA 90232-6834
Mailing address
8605 Santa Monica Blvd # 69638
Los Angeles, CA 90069-4109
Phone (323) 682-0289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3831 Hughes Ave
Ste 104
Culver City, CA 90232
Phone (310) 837-9700
8605 Santa Monica Blvd
#69638
Los Angeles, CA 90069
Practitioners & affiliated clinicians
Practitioners 1
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": "1514937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725321600000",
"number": "1497262141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD # 69638",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900694109",
"telephone_number": "323-682-0289",
"fax_number": "855-538-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE STE 104",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902326834",
"telephone_number": "323-682-0289",
"fax_number": "855-538-9401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOHARAEYE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-03",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A",
"authorized_official_last_name": "KOHARA",
"authorized_official_first_name": "EUNICE",
"authorized_official_middle_name": "MAYA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-682-0289",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.