Active NPI
Advanced Vision Care
- Ophthalmology Physician
- Los Angeles, CA
National Provider Identifier
1992992945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ADVANCED VISION CARE
- Practice address
- 2080 Century Park East
Suite 911
Los Angeles, CA 90067 - Phone
- (310) 229-1220
- Fax
- (310) 229-1222
- NPI assigned
- Oct 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Masket, MD
- Title
- Physician
- Phone
- (310) 229-1220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
2080 Century Park East
Suite 911
Los Angeles, CA 90067
Mailing address
2080 Century Park East
Suite 911
Los Angeles, CA 90067
Phone (310) 229-1220
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G337810 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2080 Century Park E
Ste 9
Los Angeles, CA 90067
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1114140795
-
- Ophthalmology Physician
- Los Angeles, CA
- NPI 1104837657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221091200000",
"number": "1992992945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 CENTURY PARK EAST",
"address_2": "SUITE 911",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90067",
"telephone_number": "310-229-1220",
"fax_number": "310-229-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CENTURY PARK EAST",
"address_2": "SUITE 911",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90067",
"telephone_number": "310-229-1220",
"fax_number": "310-229-1222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED VISION CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-03",
"last_updated": "2008-09-11",
"status": "A",
"authorized_official_last_name": "MASKET",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "310-229-1220",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G337810",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Advanced Sleep Medicine Services, Inc.
- Advanced SLP Corp
- Advanced Specialty Anesthesia & Pain Management, a Medical Corporation
- Advanced Surgery Center of Beverly Hills, LLC
- Advanced Verdugo Medical Center
- Advanced Vision Care a California General Partnership
- Advanced Wound Care Group USA
- Advancement Through Opportunity & Knowledge
- Priya Advani, PRIYA ADVANI, L.AC.
- Advantage Home Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.