I to I LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

I TO I LLC

Doing business as

My Eyelab

Practice address

3401 Oakdale Rd
Ste 525
Modesto, CA 95355

Phone

(209) 662-0282

Fax

(561) 828-8367

NPI assigned

Sep 25, 2020

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Manager

Phone

(619) 357-6146

Specialties & licenses 2

Addresses

Other names 1

• My Eyelab Doing business as

Tax ID family

I to I LLC2 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.

• I to I LLC

  • Eyewear Supplier
  • Modesto, CA
  • NPI 1770180721
  NPD tax ID

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1982211793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 OAKDALE RD",
            "address_2": "STE 525",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-662-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 OAKDALE RD",
            "address_2": "STE 525",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95355",
            "telephone_number": "209-662-0282",
            "fax_number": "561-828-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I TO I LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "619-357-6146"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eyelab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eyelab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chorng Jen Hwang, MD
• Banpreet Hyare
• Ibrahim Jamal Hyder, MD
• Syed Zain Ul Huda Hyder
• I to I LLC
• I'M All Ears Marriage and Family Therapy, Inc.
• Fatima Jasmin Ibanez
• Lizette Ibanez
• Alexa Ibarra Cornejo
• Alexa Ibarra-Lopez, HS DIPLOMA

• Optometrist in Modesto, CA
• Providers in Modesto, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.