Eye Department Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

T005981 Issued in NY

Legal business name

EYE DEPARTMENT CORP

Practice address

805 Emerald St
Redondo Beach, CA 90277-3203

Phone

(917) 796-4024

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. M. Catarina Jang, O.D.

Title

President

Phone

(917) 796-4024

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1629167291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 EMERALD ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773203",
            "telephone_number": "917-796-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 EMERALD ST",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773203",
            "telephone_number": "917-796-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DEPARTMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "M. CATARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-796-4024",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T005981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.