Active NPI
Eric T Ikeda, O.D.
- Optometrist
- Bellflower, CA
National Provider Identifier
1982700704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8637T
- Practice address
- 16816 Clark Avenue
Bellflower, CA 90706-5793 - Phone
- (562) 925-6591
- Fax
- (562) 867-8719
- NPI assigned
- Sep 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8637T | CA | Primary |
Addresses
Primary practice location
16816 Clark Avenue
Bellflower, CA 90706-5793
Mailing address
16816 Clark Avenue
Bellflower, CA 90706-5793
Phone (562) 925-6591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WY4402A | Other | CA | MEDICARE GROUP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
16816 Clark Ave
Bellflower, CA 90706-5702
Phone (562) 925-6591
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8637T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometric Vision Care Associates Inc | Optometrist | Current | Accepting new patients |
Locations
16816 Clark Ave
Bellflower, CA 90706
Phone (310) 925-6591
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Bellflower, CA
- NPI 1801993639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329264000000",
"number": "1982700704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16816 CLARK AVENUE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907065793",
"telephone_number": "562-925-6591",
"fax_number": "562-867-8719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16816 CLARK AVENUE",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907065793",
"telephone_number": "562-925-6591",
"fax_number": "562-867-8719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKEDA",
"first_name": "ERIC",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-16",
"last_updated": "2012-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8637T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "WY4402A",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellflower, CA
- Paul S. Hwang, MD
- Hysperia Elderly Care Home (Hesperia Care Center)
- Hyuk Lee M.D. a Medical Corporation
- Jennifer Marie Iglesias Wilder
- Amarachi Emmanuella Igwe, PMHNP
- Jessica Zenaida Ilagan-Avergonzado, D.D.S.
- Patricia Ann Kai Ilejay, FNP-BC
- Immaculate Heart of Mary Home Health, Inc.
- In Development Inc (InDevelopment Telehealth)
- Inb Transportation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.