Organization Active NPI

Elander Eye Medical Group Inc

Doing business as Elander Eye Care

  • Ophthalmology Physician
  • Santa Monica, CA
National Provider Identifier
1801994363
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ELANDER EYE MEDICAL GROUP INC
Doing business as
Elander Eye Care
Practice address
242 26TH St
Santa Monica, CA 90402-2552
Phone
(310) 393-0634
Fax
(310) 451-4009
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Authorized official

Name
Troy Robert Elander, M.D.NPI 1205858396
Title
Owner/Vice President
Phone
(310) 393-0634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

242 26TH St
Santa Monica, CA 90402-2552

Mailing address

242 26TH St
Santa Monica, CA 90402-2552
Phone (310) 393-0634

Other identifiers 1

IdentifierTypeStateIssuer
CK5309OtherCAMEDICARE RAIL ROAD

Other names 1

  • Elander Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050614001463 CA Part B Supplier - Clinic/Group Practice 3274577879 Receives reassigned benefits from 5 practitioners
Practice locations: Santa Monica, CA
O20100930020759 CA DME Supplier - Physician - Ophthalmology 3274577879 Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory

Locations

242 26th St
Santa Monica, CA 90402
Phone (310) 393-0634

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229472000000",
    "number": "1801994363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 26TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022552",
            "telephone_number": "310-393-0634",
            "fax_number": "310-451-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 26TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022552",
            "telephone_number": "310-393-0634",
            "fax_number": "310-451-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELANDER EYE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-12-17",
        "status": "A",
        "authorized_official_last_name": "ELANDER",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "310-393-0634",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "CK5309",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elander Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.