Walter M. Vukcevich, a Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WALTER M. VUKCEVICH, A MEDICAL GROUP, INC.

Doing business as

Long Beach Eye Care

Practice address

2572 Atlantic Ave
Long Beach, CA 90806-2751

Phone

(562) 424-0931

Fax

(562) 595-4030

NPI assigned

Jan 4, 2008

Last updated

Jan 4, 2008By 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. Walter M. Vukcevich, M.D.

Title

President & Ceo

Phone

(562) 424-0931

Specialties & licenses 1

Addresses

Other names 1

• Long Beach Eye Care Doing business as

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1811172257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2572 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062751",
            "telephone_number": "562-424-0931",
            "fax_number": "562-595-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062751",
            "telephone_number": "562-424-0931",
            "fax_number": "562-595-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER M. VUKCEVICH, A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "VUKCEVICH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "562-424-0931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Walmart Inc. (Walmart Pharmacy 10-3477)
• Walmart Inc. (Walmart Pharmacy 10-4101)
• Monica Rose Walsh
• Sarah Keliher Walsh
• Suzanne Alicia Walsh
• David Hall Cook Walter
• Sharon Ruth Walters, PH.D.
• Charis Walth
• William Robert Walton III, DDS
• Waltzman Plastic and Reconstructive Surgery

• Specialist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.