Active NPI
Jules Stein Eye Institute Medical Group
- Durable Medical Equipment & Medical Supplies
- Santa Monica, CA
National Provider Identifier
1851715346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JULES STEIN EYE INSTITUTE MEDICAL GROUP
- Practice address
- 1807 Wilshire Blvd
Suite 203
Santa Monica, CA 90403-5652 - Phone
- (310) 206-0485
- NPI assigned
- Feb 5, 2014
- Last updated
- Jan 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Hale
- Title
- Finance Director
- Phone
- (310) 301-5311
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Ophthalmology Physician | 207W00000X | CA |
Addresses
Primary practice location
1807 Wilshire Blvd
Suite 203
Santa Monica, CA 90403-5652
Mailing address
5767 W Century Blvd
Suite 400
Los Angeles, CA 90045-5631
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140501000390 | CA | DME Supplier - Physician - Optometrist | 5597663740 | Practice locations: Santa Monica, CA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1326006966
5597663740
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1881011567
5597663740
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| UCLA Stein Eye Center Santa Monica | Ocular Prostheses|Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Marsh Joh
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1326006966
-
- Durable Medical Equipment & Medical Supplies
- Pasadena, CA
- NPI 1528943925
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1881011567
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1114372356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609804800000",
"number": "1851715346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD",
"address_2": "SUITE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1807 WILSHIRE BLVD",
"address_2": "SUITE 203",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035652",
"telephone_number": "310-206-0485"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JULES STEIN EYE INSTITUTE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A",
"authorized_official_last_name": "HALE",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "310-301-5311"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.