RSM Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12960TLG Issued in CA

Legal business name

RSM OPTOMETRY INC

Doing business as

Southland Optometry

Practice address

11945 Ventura Blvd
Studio City, CA 91604-2607

Phone

(818) 506-5955

Fax

(818) 506-7177

NPI assigned

Jul 21, 2014

Last updated

May 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rezah S Mohamed, O.D.

Title

President

Phone

(818) 506-5955

Specialties & licenses 1

Addresses

Other names 1

• Southland Optometry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Henry Macaray, RDO

  • Optician
  • Studio City, CA
  • NPI 1558525683
  NPD (past)

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1669889747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042607",
            "telephone_number": "818-506-5955",
            "fax_number": "818-506-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11945 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042607",
            "telephone_number": "818-506-5955",
            "fax_number": "818-506-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSM OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "REZAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-506-5955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12960TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southland Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin Kerry Rosenberg, D.D.S.
• Paula Phyllis Ross, DC
• Romina Ross, IBCLC
• Isabel Alex Rothschild Bartel, LMFT
• Royal Crown Home Health Care, Inc
• Gennady Rubinstein, M.D.
• Chase Ruckhaber
• Thomas M Rudenko, D.C.
• Juan Maximino Ruiz, PTA
• Lisa Dawn Rumbolz, RDN

• Optometrist in Studio City, CA
• Providers in Studio City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.