Desert Elite Optical LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DESERT ELITE OPTICAL LLC

Practice address

45175 Panorama Dr Ste F
Palm Desert, CA 92260-4482

Phone

(760) 444-0696

Fax

(760) 444-3223

NPI assigned

Dec 3, 2025

Organization subpart

No

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

Authorized official

Name

Wallace Goldban, MD

Title

Pres

Phone

(760) 444-0696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1730042268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45175 PANORAMA DR STE F",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604482",
            "telephone_number": "760-444-0696",
            "fax_number": "760-444-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45175 PANORAMA DR STE F",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604482",
            "telephone_number": "760-444-0696",
            "fax_number": "760-444-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Indian Canyon Dr Ste E130",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624876",
            "country_code": "US",
            "telephone_number": "760-444-0696",
            "fax_number": "760-444-3223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DESERT ELITE OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-03",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "GOLDBAN",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "760-444-0696",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.