Eye Sight Optician, Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

SL198 Issued in CA

Legal business name

EYE SIGHT OPTICIAN, INC.

Practice address

223 Manhattan Beach Blvd
Manhattan Beach, CA 90266

Phone

(310) 545-4090

Fax

(310) 545-2252

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mike M Fouladian, FNAO OPTICIAN

Title

Optician Owner Ceo

Phone

(310) 545-4090

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Trendy Sunglasses Doing business as

Locations

Practitioners 2

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

• Julia M Larson, OD

  • Optometrist
  • Manhattan Beach, CA
  • NPI 1437635240
  NPD (past)
• Anne Cindy Lee, OD, FAAO

  • Pediatric Optometrist
  • Hawthorne, CA
  • NPI 1366440018
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1801949755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MANHATTAN BEACH BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "90266",
            "telephone_number": "310-545-4090",
            "fax_number": "310-545-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MANHATTAN BEACH BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "90266",
            "telephone_number": "310-545-4090",
            "fax_number": "310-545-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SIGHT OPTICIAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "FOULADIAN",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTICIAN OWNER CEO",
        "authorized_official_telephone_number": "310-545-4090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNAO OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "SL198",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "CL102",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222831472",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESALE NUMBER",
            "identifier": "SRYAB16680406000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trendy Sunglasses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nora Lopez Escobedo, LCSW
• Simin Eshtehardi, LMFT
• Adrian Esparza, M.S
• Maria Etchepare, NP
• Executive Linguist Agency, Inc
• Mathias Stephen Fallis, DDS
• Kelsey Anne Fallon
• Carlo Miguel Farrales, BS
• Keith Simon Feder, M.D.
• Rachel Fein-Liston, OTR/L

• Optician in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Optician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.