M Zakheim O D a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

M ZAKHEIM O D A PROFESSIONAL CORPORATION

Practice address

416 N Fairfax Ave
Los Angeles, CA 90036-1717

Phone

(323) 866-2020

Fax

(323) 917-5032

NPI assigned

Jul 21, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Myles Zakheim, ODNPI 1801911599

Title

OD/Owner

Phone

(323) 866-2020

Specialties & licenses 1

Addresses

Other names 1

• Zak Eyes Doing business as

Locations

Practitioners 1

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

• Myles J Zakheim, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1801911599
  NPD Authorized official

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1629641378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900361717",
            "telephone_number": "323-866-2020",
            "fax_number": "323-917-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N FAIRFAX AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900361717",
            "telephone_number": "323-866-2020",
            "fax_number": "323-917-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M ZAKHEIM O D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "ZAKHEIM",
        "authorized_official_first_name": "MYLES",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "323-866-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zak Eyes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zak Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.