NPIMap

Organization Active NPI

Inland Eye Specialists a Medical Corp

Doing business as EyeLux Optometry

  • Optometrist
  • San Diego, CA
National Provider Identifier
1841705183
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INLAND EYE SPECIALISTS A MEDICAL CORP
Doing business as
EyeLux Optometry
Practice address
16615 Dove Canyon Rd Ste 105
San Diego, CA 92127-3441
Phone
(858) 487-7900
Fax
(858) 487-1896
NPI assigned
Dec 8, 2017
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Mr. George Neal
Title
Assistant Secretary
Phone
(844) 377-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

16615 Dove Canyon Rd Ste 105
San Diego, CA 92127-3441

Mailing address

PO Box 845426
Los Angeles, CA 90084-5426
Phone (858) 487-7900

Other names 1

  • EyeLux Optometry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Inland Eye Specialists9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16615 Dove Canyon Rd
Ste 105
San Diego, CA 92127
Phone (858) 487-7900

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1841705183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845426",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900845426",
            "telephone_number": "858-487-7900",
            "fax_number": "858-487-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 DOVE CANYON RD STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273441",
            "telephone_number": "858-487-7900",
            "fax_number": "858-487-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EYE SPECIALISTS A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "844-377-6468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeLux Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.