Inland Eye Specialists a Medical Corp

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

INLAND EYE SPECIALISTS A MEDICAL CORP

Practice address

521 E Elder St
Suite 102
Fallbrook, CA 92028-3081

Phone

(760) 728-5728

Fax

(951) 266-5302

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Mr. George Neal

Title

Assistant Secretary

Phone

(844) 377-6468

Specialties & licenses 3

Addresses

Other names 1

• Inland Eye Specialists Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Inland Eye Specialists a Medical Corp

  • Ophthalmology Physician
  • Hemet, CA
  • NPI 1083622567

  O20150831001748

  Same enrollment
• Inland Eye Specialists a Medical Corp

  • Optometrist
  • Temecula, CA
  • NPI 1114950086

  O20150831001748

  Same enrollment
• Inland Eye Specialists a Medical Corp

  • Ophthalmology Physician
  • Murrieta, CA
  • NPI 1649540303

  O20150831001748

  Same enrollment
• Inland Eye Specialists a Medical Corp

  • Ophthalmology Physician
  • Murrieta, CA
  • NPI 1942235643

  O20150831001748

  Same enrollment
• Inland Eye Specialists, a Medical Corporation

  • Ophthalmology Physician
  • Corona, CA
  • NPI 1467087544

  O20150831001748

  Same enrollment
• Inland Eye Specialists, a Medical Corporation

  • Ophthalmology Physician
  • Beaumont, CA
  • NPI 1518615947

  O20150831001748

  Same enrollment

Practitioners 3

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

• Cheryl C Duong, OD

  • Optometrist
  • Fallbrook, CA
  • NPI 1366935678
  NPD
• Sara Khandan, MD

  • Ophthalmology Physician
  • Chula Vista, CA
  • NPI 1063850808
  NPD
• Barratt L Phillips, M.D.

  • Ophthalmology Physician
  • Hemet, CA
  • NPI 1780664326
  NPD

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1962677013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845426",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900849054",
            "telephone_number": "607-285-7287",
            "fax_number": "951-266-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST",
            "address_2": "SUITE 102",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283081",
            "telephone_number": "760-728-5728",
            "fax_number": "951-266-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND EYE SPECIALISTS A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "844-377-6468",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Inland Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Igor Jercinovich, M.D., Inc.
• Alesandra Nadia Ilchena, D.C.
• Jay W Inglee, LMFT
• Jonathan Iniesta
• Maria L Iniguez, L.C.S.W.
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• Jeeirene Advanced Nursing, Inc
• Enchanta L Jenkins, M.D.

• Ophthalmology Physician in Fallbrook, CA
• Providers in Fallbrook, 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 12, 2020; 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.