Inland Glaucoma Service Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A51441 Issued in CA

Legal business name

INLAND GLAUCOMA SERVICE MEDICAL CORPORATION

Practice address

11320 Mountain View Ave Ste B
Loma Linda, CA 92354-3860

Phone

(909) 799-1992

Fax

(909) 799-1499

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Alexander Bruce-Lyle, M.D.

Title

Doctor

Phone

(909) 799-1992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1497881007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11320 MOUNTAIN VIEW AVE STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543860",
            "telephone_number": "909-799-1992",
            "fax_number": "909-799-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11320 MOUNTAIN VIEW AVE STE B",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543860",
            "telephone_number": "909-799-1992",
            "fax_number": "909-799-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND GLAUCOMA SERVICE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "BRUCE-LYLE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "909-799-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A51441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Imperio
• Simon Inderias I
• Michael Brian Ing, M.D.
• Lenora Gay Ingram
• Inland Compounding Pharmacy, Inc.
• Inland Psychiatric Medical Group Inc
• Inland Temporary Homes
• Jared Christian Inman, M.D.
• Nobuaki Inoue, MD
• Integrated Care Response

• Ophthalmology Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.