Ivor Meyerson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7011TPL Issued in CA

Practice address

1815 Hawthorne Blvd
Suite 360
Redondo Beach, CA 90278

Phone

(310) 542-2251

Fax

(310) 542-2362

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1831113034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 HAWTHORNE BLVD",
            "address_2": "SUITE 360",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90278",
            "telephone_number": "310-542-2251",
            "fax_number": "310-542-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HAWTHORNE BLVD",
            "address_2": "SUITE 360",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90278",
            "telephone_number": "310-542-2251",
            "fax_number": "310-542-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERSON",
        "first_name": "IVOR",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7011TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0070110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meliza Menjivar
• Mercedeh Baghai M.D. Inc.
• Ann-Margaret Charlene Mercier, LMFT, APCC
• Rebecca Ann Merida
• Evelyn Meyers
• Yesenia Meza Carrillo
• Michael Pearson/South Bay Therapy
• Michael Pearson/South Bay Therapy
• Michael T. Fulbright DDS a Professional Corporation
• Michael W Hansen OD Inc

• Optometrist in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.