Eye Treatment Center, an Incorporated Medical Group, Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G72572 Issued in CA

Legal business name

EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC

Practice address

1150 E 4TH St
Long Beach Senior Center
Long Beach, CA 90802-1735

Phone

(562) 570-3500

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Irene Sasaki, MDNPI 1245234178

Title

President

Phone

(562) 436-4558

Specialties & licenses 1

Addresses

Tax ID family

Merrill M Kn0Pf MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eye Treatment Center, an Incorporated Medical Group, Inc

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1427052190
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene F Sasaki, M.D.

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1245234178
  NPD Authorized official

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1891026969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 1007",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133413",
            "telephone_number": "562-436-4558",
            "fax_number": "562-437-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E 4TH ST",
            "address_2": "LONG BEACH SENIOR CENTER",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021735",
            "telephone_number": "562-570-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "SASAKI",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-436-4558",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G72572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Extended Health Care, Inc
• Extending Hands Unlimited (Extending Hands In Home Care Services)
• Eye Physicians of Long Beach a Medical Group Inc (none)
• Eye Physicians of Long Beach a Medical Group Inc.
• Eye Treatment Center, an Incorporated Medical Group, Inc
• Eyecare Specialists Medical Group, Inc (Atlantis Eyecare)
• Kaitlyn Eyles, RN
• Chinyelu A. Eze
• Charles Nnamdi Ezeaka, MD
• Bryce Ezrre

• Ophthalmology Physician in Long Beach, CA
• Providers in Long Beach, 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 2, 2010; 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.