California Eye Institute Medical Group

LBN: California Eye Institute Medical Group
California Eye Institute Medical Group is an health care organization with primary practice located at 1360 E Herndon Ave Suite 240, Fresno CA 93720-3326. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. California Eye Institute Medical Group can be contacted via phone (559) 449-5000, or through Maxwell, William Andrew via phone (559) 449-5000.

Contact Information

Primary practice address
1360 E Herndon Ave Suite 240 Fresno CA 93720-3326
Fax: (559) 449-5004
Website:
Authorized official contact:
Name: Maxwell, William Andrew Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1669496246
LBN Legal business name California Eye Institute Medical Group
DBA Doing business as
Authorized official Maxwell, William Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 26th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669496246 NPPES
California MEDICAID GR0030580

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