Eye Physicians of the East Bay Medical Corporation

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE PHYSICIANS OF THE EAST BAY MEDICAL CORPORATION

Practice address

80 Grand Ave
Suite 700
Oakland, CA 94612-3725

Phone

(510) 893-4318

Fax

(510) 893-1108

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lee Wang, M.D.NPI 1861424178

Title

President

Phone

(510) 893-4318

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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

• Michael Lee Wang, M.D.

  • Ophthalmology Physician
  • Oakland, CA
  • NPI 1861424178
  Medicare reassignment Care Compare group Authorized official
• Katherine Grace Chen, MS

  • Ophthalmology Physician
  • Irvine, CA
  • NPI 1699237420
  Medicare reassignment Care Compare group NPD
• Jane V Loman, M.D.

  • Ophthalmology Physician
  • Oakland, CA
  • NPI 1346274024
  Medicare reassignment Care Compare group NPD
• Steven Gray Pascal, M.D.

  • Ophthalmology Physician
  • Oakland, CA
  • NPI 1336177245
  Medicare reassignment Care Compare group NPD
• Melissa O Lin

  • Optometrist
  • Oakland, CA
  • NPI 1952535007
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1629014618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "SUITE 700",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-893-4318",
            "fax_number": "510-893-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "SUITE 700",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-893-4318",
            "fax_number": "510-893-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF THE EAST BAY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-893-4318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm Andrew Ewing, CAADAC (INTERN)
• Sharyn Denise Ewing, LVN
• Susan Ewing, SLP
• Thomas L. Ewing, MD
• Excell Post Acute LLC
• Ugomma Eze
• Sharon V. Ezekiel, LCSW
• Farrah Ezzeddine, MD
• F Moftakhar DDS a Professional Corp
• F Moftakhar DDS a Professional Corp

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.