Luke Wahl Deitz, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A112512 Issued in CA

Practice address

6101 W Centinela Ave Ste 170
Culver City, CA 90230-6350

Phone

(424) 213-1983

Fax

(424) 214-3648

NPI assigned

Jun 6, 2007

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

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Johns Hopkins University School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Luke W. Deitz M.D., a Professional Corporation

  dba Singular Vision Center

  • Ophthalmology Physician
  • Culver City, CA
  • NPI 1255027546
  Medicare reassignment NPD Authorized official
• Jules Stein Eye Institute Medical Group

  dba Doheny Eye Center UCLA - Orange County

  • Durable Medical Equipment & Medical Supplies
  • Fountain Valley, CA
  • NPI 1770938292
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1871796276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 W CENTINELA AVE STE 170",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306350",
            "telephone_number": "424-213-1983",
            "fax_number": "424-214-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 W CENTINELA AVE STE 170",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902306350",
            "telephone_number": "424-213-1983",
            "fax_number": "424-214-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEITZ",
        "first_name": "LUKE",
        "middle_name": "WAHL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A112512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Deangelis
• Mirna Dearborn
• Katharine Deeb
• Sophia Hannah Deen, PT, DPT
• Jeremy Defranco, M.D.
• Noya Dekel, PSY.D.
• Esther Del Campo
• Regina Del Carmen
• Ada Elena Del Rivero Yamuy, M.D.
• Delano B Hankins Jr DDS a Professional Corporation (HD Dental Studios)

• Ophthalmology Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.
• 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.

Verify at the official NPI Registry.