Active NPI
Eye Corp
- Ophthalmology Physician
- Pasadena, CA
National Provider Identifier
1861374571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CORP
- Practice address
- 1111 S Fair Oaks Ave
Pasadena, CA 91105-3415 - Phone
- (847) 922-2288
- Fax
- (562) 427-2525
- NPI assigned
- Jul 23, 2025
- 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
- Julia Song, MD
- Title
- President/Ceo
- Phone
- (847) 922-2288
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1111 S Fair Oaks Ave
Pasadena, CA 91105-3415
Mailing address
PO Box 2020
Manhattan Beach, CA 90267-2020
Phone (847) 922-2288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A877530 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1111 S Fair Oaks Ave
Pasadena, CA 91105
Phone (562) 427-0700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Long Beach, CA
- NPI 1982629010
-
- Ophthalmology Physician
- Los Alamitos, CA
- NPI 1861464000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1861374571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2020",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902672020",
"telephone_number": "847-922-2288",
"fax_number": "562-427-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S FAIR OAKS AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053415",
"telephone_number": "847-922-2288",
"fax_number": "562-427-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-23",
"last_updated": "2025-07-23",
"status": "A",
"authorized_official_last_name": "SONG",
"authorized_official_first_name": "JULIA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "847-922-2288",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A877530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.