Humboldt Medical Eye Associates

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A70161 Issued in CA

Legal business name

HUMBOLDT MEDICAL EYE ASSOCIATES

Practice address

2434 Harrison Ave
Eureka, CA 95501-3219

Phone

(707) 443-5685

Fax

(707) 443-9880

NPI assigned

May 14, 2018

Last updated

May 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael B Mizoguchi, MDNPI 1861418808

Title

Physician

Phone

(707) 443-5685

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• Michael Bruce Mizoguchi, M.D.

  • Ophthalmology Physician
  • Eureka, CA
  • NPI 1861418808
  Medicare reassignment Care Compare group NPD Authorized official
• Mustafa Safi, MD

  • Cornea and External Diseases Specialist Physician
  • Eureka, CA
  • NPI 1518325455
  Medicare reassignment Care Compare group NPD
• Danielle Luke Lefever, OD

  • Optometrist
  • Eureka, CA
  • NPI 1609183144
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1578053864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013219",
            "telephone_number": "707-443-5685",
            "fax_number": "707-443-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 HARRISON AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013219",
            "telephone_number": "707-443-5685",
            "fax_number": "707-443-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT MEDICAL EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "MIZOGUCHI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "707-443-5685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A70161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humboldt Fanilyservicecenter
• Humboldt Foot & Ankle PC (Humboldt Foot and Ankle)
• Humboldt Hand and Foot Therapy
• Humboldt Medical and Neurological Rehabilitation, Inc.
• Humboldt Medical Eye Associates
• Humboldt Medical Specialists, Inc
• Humboldt Mobile Massage, Inc (Mendocino Coast Doulas)
• Humboldt Neurological Medical Group Inc
• Humboldt Orthopaedic Medical Associates, Inc.
• Humboldt Orthopaedic Medical Associates, Inc.

• Ophthalmology Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.

Verify at the official NPI Registry.