Eyehome Network of California, an Optometric Corporation

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

EYEHOME NETWORK OF CALIFORNIA, AN OPTOMETRIC CORPORATION

Practice address

1700 W Cameron Ave
#200
West Covina, CA 91790-2718

Phone

(855) 528-5642

Fax

(714) 371-4188

NPI assigned

Jan 22, 2015

Last updated

Jan 22, 2015By 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

Tamara Bruns

Title

President

Phone

(714) 642-2880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421884800000",
    "number": "1902295330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W CAMERON AVE",
            "address_2": "#200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902718",
            "telephone_number": "855-528-5642",
            "fax_number": "714-371-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W CAMERON AVE",
            "address_2": "#200",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902718",
            "telephone_number": "855-528-5642",
            "fax_number": "714-371-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEHOME NETWORK OF CALIFORNIA, AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-01-22",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-642-2880"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Evans
• Evelyn a Ortega MD Inc
• Evolution Consulting Inc.
• Moses Ewo
• Excel Imaging Center West Covina Inc.
• Eyexam of California
• Anthony Curtis Ezedi
• Fairway Children's Medical Group
• Natalia Isabel Fajardo
• David Falcon-Valentin

• Exclusive Provider Organization in West Covina, CA
• Providers in West Covina, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.