Eyelid Institute Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A115818 Issued in CA

Legal business name

EYELID INSTITUTE INC

Practice address

41990 Cook St
Suite F1007
Palm Desert, CA 92211-6100

Phone

(760) 610-2677

Fax

(760) 610-6101

NPI assigned

Apr 28, 2011

Last updated

Jul 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Hui, M.D.NPI 1518983493

Title

President

Phone

(760) 610-2677

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer I Hui, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Palm Desert, CA
  • NPI 1518983493

  Ophthalmology

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1861783599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41990 COOK ST",
            "address_2": "SUITE F1007",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-610-2677",
            "fax_number": "760-610-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41990 COOK ST",
            "address_2": "SUITE F1007",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116100",
            "telephone_number": "760-610-2677",
            "fax_number": "760-610-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYELID INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "HUI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-610-2677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A115818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2759357-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Exodus Surgical Center LLC
• Eyecare Specialists Medical Group, Inc (Atlantis Eyecare)
• Faculty Physicians and Surgeons of Llusm
• Magdalena Paz Fadic-Repetto, OT
• Rosalind Fahmy, M.D.
• Family Health & Support Network, Inc.
• Roxanna Farinpour, PHD

• Ophthalmology Physician in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.

Verify at the official NPI Registry.