Organization Active NPI

Eye Physicians Medical Group Inc

  • Ophthalmology Physician
  • El Cajon, CA
National Provider Identifier
1619987666
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS MEDICAL GROUP INC
Practice address
225 West Madison Ave
Suite 1
El Cajon, CA 92020
Phone
(619) 442-0844
Fax
(619) 442-7399
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Mrs. Dee Anne L McCall
Title
Office Manager
Phone
(619) 442-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

225 West Madison Ave
Suite 1
El Cajon, CA 92020

Mailing address

225 West Madison Ave
Suite 1
El Cajon, CA 92020
Phone (619) 442-0844

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ48397ZMedicaidCA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1619987666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WEST MADISON AVE",
            "address_2": "SUITE 1",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-442-0844",
            "fax_number": "619-442-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 WEST MADISON AVE",
            "address_2": "SUITE 1",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "92020",
            "telephone_number": "619-442-0844",
            "fax_number": "619-442-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "DEE ANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-442-0844",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ48397Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.