Active NPI
Century Eye Care Medical Center, Inc.
- Ophthalmology Physician
- Hawthorne, CA
National Provider Identifier
1629274337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G83156
- Legal business name
- CENTURY EYE CARE MEDICAL CENTER, INC.
- Practice address
- 4477 W 118TH St
Ste 101
Hawthorne, CA 90250-2255 - Phone
- (310) 644-8877
- Fax
- (310) 644-8870
- NPI assigned
- Jun 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Gascon
- Title
- Finance Executive Administrator
- Phone
- (310) 767-7814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G83156 | CA | Primary |
Addresses
Primary practice location
4477 W 118TH St
Ste 101
Hawthorne, CA 90250-2255
Mailing address
1141 W Redondo Beach Blvd Ste 101
Gardena, CA 90247-3585
Phone (310) 767-7814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G831561 | Medicaid | CA |
Other names 1
- CENTURY EYE CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ophthalmology Physician
- Gardena, CA
- NPI 1184736357
O20040524001227
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Gardena, CA
- NPI 1841302577
-
- Optometrist
- Gardena, CA
- NPI 1295913770
-
- Optometrist
- Glendale, CA
- NPI 1528236502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767139200000",
"number": "1629274337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 W REDONDO BEACH BLVD STE 101",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473585",
"telephone_number": "310-767-7814",
"fax_number": "310-323-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4477 W 118TH ST",
"address_2": "STE 101",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502255",
"telephone_number": "310-644-8877",
"fax_number": "310-644-8870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTURY EYE CARE MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2025-12-31",
"certification_date": "2025-12-31",
"status": "A",
"authorized_official_last_name": "GASCON",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "FINANCE EXECUTIVE ADMINISTRATOR",
"authorized_official_telephone_number": "310-767-7814"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "G83156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G831561",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CENTURY EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.