Eyenez Integrated Managed Eye Care Network, a Medical Group, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYENEZ INTEGRATED MANAGED EYE CARE NETWORK, A MEDICAL GROUP, INC.

Practice address

210 S Grand Ave Ste 106
Glendora, CA 91741-4276

Phone

(626) 335-0535

Fax

(626) 963-0163

NPI assigned

Aug 4, 2015

Organization subpart

No

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

Authorized official

Name

Mark B Kislinger, M.D.NPI 1477733772

Title

Ceo

Phone

(626) 335-0535

Specialties & licenses 2

Addresses

Practitioners 1

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

• Mark B Kislinger, M.D.

  • Ophthalmology Physician
  • Glendora, CA
  • NPI 1477733772
  NPD Authorized official

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1821474537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 106",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414276",
            "telephone_number": "626-335-0535",
            "fax_number": "626-963-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S GRAND AVE STE 106",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414276",
            "telephone_number": "626-335-0535",
            "fax_number": "626-963-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYENEZ INTEGRATED MANAGED EYE CARE NETWORK, A MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "KISLINGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-335-0535",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Glendora, CA
• Providers in Glendora, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; 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.