St. Mary's Eye Center

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

H512723 Issued in CA

Legal business name

ST. MARY'S EYE CENTER

Practice address

2222 Santa Monica Blvd
Suite 107
Santa Monica, CA 90404-2304

Phone

(310) 451-2020

Fax

(310) 451-1316

NPI assigned

Mar 6, 2009

Last updated

Mar 6, 2009By 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. Kenneth J. Hoffer, M.D.NPI 1609968601

Title

Owner

Phone

(310) 451-2020

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kenneth Joseph Hoffer, MD

  • Ophthalmology Physician
  • Santa Monica, CA
  • NPI 1609968601
  Authorized official Same address or phone

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1619118452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 SAN VICENTE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022207",
            "telephone_number": "310-451-2020",
            "fax_number": "310-451-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SANTA MONICA BLVD",
            "address_2": "SUITE 107",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042304",
            "telephone_number": "310-451-2020",
            "fax_number": "310-451-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "HOFFER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-451-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "H512723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "G17108",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Anne Spurlock
• Preethi Srikanthan, MD
• Amornchit Srikureja, M.D.
• St. Joseph Center
• St. Joseph Center
• Stacy a Cohen MD Corp (The Moment by Dr. Stacy Cohen)
• Mark Laverne Stafford, DDS
• Qumani Solomon Stafford
• John Macdonald Stalberg Sr., MD
• Bronagh Staley

• Exclusive Provider Organization in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.