California Eye Clinic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CALIFORNIA EYE CLINIC

Practice address

3747 Sunset LN
Antioch, CA 94509-6101

Phone

(925) 754-7100

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Kelly Creighton

Title

Bookkeeping Manager

Phone

(925) 754-2300

Specialties & licenses 1

Addresses

Other names 1

• Robert S. Grosserode & Ivan P. Hwang Other name

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992840946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3747 SUNSET LN",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096101",
            "telephone_number": "925-754-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3747 SUNSET LN",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945096101",
            "telephone_number": "925-754-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CREIGHTON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "BOOKKEEPING MANAGER",
        "authorized_official_telephone_number": "925-754-2300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert S. Grosserode & Ivan P. Hwang",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Katherine E Calhoun
• Jacqueline Dauz Calica
• California Eye Clinic
• California Eye Clinic
• California Eye Clinic
• California Impact Coalition Foundation
• Graciela Calvillo
• Deidra Cambaliza
• Seema Cameron, MD
• Erin Christina Campbell-Johnston

• Durable Medical Equipment & Medical Supplies in Antioch, CA
• Providers in Antioch, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.