Organization Active NPI

Cornerstone Eye Center

  • Ophthalmology Physician
  • Rowland Heights, CA
National Provider Identifier
1578806303
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A112249 Issued in CA
Legal business name
CORNERSTONE EYE CENTER
Practice address
18893-A Colima Road
Rowland Heights, CA 91748-2995
Phone
(626) 810-1001
NPI assigned
Mar 29, 2013
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Dr. Grant E Lee, M.D.NPI 1700109501
Title
Ceo
Phone
(626) 810-1001

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 Physician 207W00000X A112249 CA Primary

Addresses

Primary practice location

18893-A Colima Road
Rowland Heights, CA 91748-2995

Mailing address

18893-A Colima Rd
Rowland Heights, CA 91748-2995
Phone (626) 810-1001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130501000082 CA Part B Supplier - Clinic/Group Practice 9234376773 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA; Rowland Heights, CA

National Provider Directory

National Provider Directory

Locations

2564 W Woodland Dr
Anaheim, CA 92801
Phone (626) 810-1001

18893 Colima Rd
Ste A
Rowland Hghts, CA 91748
Phone (213) 446-7249

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": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1578806303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18893-A COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482995",
            "telephone_number": "626-810-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18893-A COLIMA ROAD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917482995",
            "telephone_number": "626-810-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-810-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A112249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.