Active NPI
Temecula Eye Medical Center, Inc
- Ophthalmology Physician
- Temecula, CA
National Provider Identifier
1891897740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G28719
- Legal business name
- TEMECULA EYE MEDICAL CENTER, INC
- Practice address
- 41877 Enterprise Cir N
Ste. 110
Temecula, CA 92590-5656 - Phone
- (951) 296-2244
- Fax
- (951) 296-3713
- NPI assigned
- Sep 1, 2006
- 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
- Dr. William Berwyn Smith, M.D.
- Title
- Pres
- Phone
- (951) 296-2244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G28719 | CA | Primary |
Addresses
Primary practice location
41877 Enterprise Cir N
Ste. 110
Temecula, CA 92590-5656
Mailing address
41877 Enterprise Cir N
Ste. 110
Temecula, CA 92590-5656
Phone (951) 296-2244
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G28791 | Medicaid | CA | |
| 180013990 | Other | CA | RAILROAD MEDICARE |
| BLUE CROSS BLUE SHIE | Other | CA | ZZZ39567Z |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1891897740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41877 ENTERPRISE CIR N",
"address_2": "STE. 110",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905656",
"telephone_number": "951-296-2244",
"fax_number": "951-296-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41877 ENTERPRISE CIR N",
"address_2": "STE. 110",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925905656",
"telephone_number": "951-296-2244",
"fax_number": "951-296-3713"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEMECULA EYE MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-01",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "BERWYN",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "951-296-2244",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "G28719",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G28791",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180013990",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ZZZ39567Z",
"identifier": "BLUE CROSS BLUE SHIE",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
- Temecula Ca United Surgery Center, LP
- Temecula Center for Cardiac Care
- Temecula Center of Integrative Medicine LLC
- Temecula Congregate Home
- Temecula Creek Dental Care
- Temecula Family Chiropractic Corporation
- Temecula Family Medical Professional Corporation
- Temecula Family Wellness
- Temecula Hearing Center, Inc.
- Temecula Hearing Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.