NPIMap

Organization Active NPI

Inland Eye Specialists a Medical Corp

  • Ophthalmology Physician
  • Murrieta, CA
National Provider Identifier
1649540303
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
INLAND EYE SPECIALISTS A MEDICAL CORP
Practice address
25460 Medical Center Dr
Suite 103
Murrieta, CA 92562-5985
Phone
(951) 698-4575
Fax
(951) 266-5302
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Mr. George Neal
Title
Assistant Secretary
Phone
(844) 377-6468

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

25460 Medical Center Dr
Suite 103
Murrieta, CA 92562-5985

Mailing address

PO Box 845426
Los Angeles, CA 90084-5426
Phone (951) 698-4575

Other names 1

  • Inland Eye Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150831001748 CA Part B Supplier - Clinic/Group Practice 3375447964 Receives reassigned benefits from 25 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fallbrook, CA; Temecula, CA; San Diego, CA; Murrieta, CA; Hemet, CA; Corona, CA; Beaumont, CA; Menifee, CA

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Inland Eye Specialists9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1649540303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845426",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845426",
            "telephone_number": "951-698-4575",
            "fax_number": "951-266-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25460 MEDICAL CENTER DR",
            "address_2": "SUITE 103",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925625985",
            "telephone_number": "951-698-4575",
            "fax_number": "951-266-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EYE SPECIALISTS A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "844-377-6468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inland Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.

Verify at the official NPI Registry.