Organization Active NPI

Healthy Eyes Medical Group

  • Ophthalmology Physician
  • Camarillo, CA
National Provider Identifier
1750540514
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HEALTHY EYES MEDICAL GROUP
Practice address
816 Camarillo Springs Rd
Suite B
Camarillo, CA 93012-9441
Phone
(805) 987-3114
Fax
(805) 987-3119
NPI assigned
Jun 6, 2008
Last updated
May 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Yogender Pal Garg, MD
Title
Chief Executive Officer
Phone
(805) 987-3114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X CA Primary

Addresses

Primary practice location

816 Camarillo Springs Rd
Suite B
Camarillo, CA 93012-9441

Mailing address

816 Camarillo Springs Rd
Suite B
Camarillo, CA 93012-9441
Phone (805) 987-3114

National Provider Directory

National Provider Directory

Locations

816 Camarillo Springs Rd
Ste B
Camarillo, CA 93012
Phone (805) 987-3114

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1750540514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 CAMARILLO SPRINGS RD",
            "address_2": "SUITE B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930129441",
            "telephone_number": "805-987-3114",
            "fax_number": "805-987-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 CAMARILLO SPRINGS RD",
            "address_2": "SUITE B",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930129441",
            "telephone_number": "805-987-3114",
            "fax_number": "805-987-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY EYES MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "YOGENDER",
        "authorized_official_middle_name": "PAL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "805-987-3114",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.