Plaza Eye & Surgery Center, a Medical Corporation

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

C30903 Issued in TN

Legal business name

PLAZA EYE & SURGERY CENTER, A MEDICAL CORPORATION

Practice address

1414 S Grand Ave
#100
Los Angeles, CA 90015-3067

Phone

(213) 749-5555

Fax

(213) 749-5253

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Matthew A. Bernstein, M.D.

Title

Ophthalmologist and Owner

Phone

(213) 749-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Hooria Bahram, O.D.

  • Optometrist
  • Reseda, CA
  • NPI 1851532147
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1659406445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "#100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-749-5555",
            "fax_number": "213-749-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S GRAND AVE",
            "address_2": "#100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153067",
            "telephone_number": "213-749-5555",
            "fax_number": "213-749-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA EYE & SURGERY CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST AND OWNER",
        "authorized_official_telephone_number": "213-749-5555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "C30903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plaza Community Center
• Plaza Community Center, Esperanza Program
• Plaza Community Center, Inc.
• Plaza Community Services
• Plaza Dental
• Plaza Health Services Inc.
• Plaza West Pharmacy
• Plaza-Towers OB/GYN
• Alfredo Plaza
• Gwendolyn Plaza

• Corneal and Contact Management Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; 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.