Miramar Eye Specialists Medical Group
LBN: Miramar Eye Specialists Medical Group, Inc
Miramar Eye Specialists Medical Group is an health care organization with primary practice located at 3085 Loma Vista Rd , Ventura CA 93003-2916. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Miramar Eye Specialists Medical Group, Inc can be contacted via phone (805) 583-3950, or through Corwin, Joel via phone (805) 583-3950.
Contact Information
Primary practice address
3085 Loma Vista Rd
Ventura CA 93003-2916
Phone: (805) 583-3950
Fax: (805) 584-2477
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1992746382 |
|---|---|
| LBN Legal business name | Miramar Eye Specialists Medical Group, Inc |
| DBA Doing business as | Miramar Eye Specialists Medical Group |
| Authorized official | Corwin, Joel |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Aug 15th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992746382 | NPPES |
| California | Other | ZZZ51212Z | BLUE SHIELD |
| California | Other | CI5426 | BLUE SHIELD |
| California | Other | 110369658 | BLUE SHIELD |
| California | MEDICAID | GR0076890 | BLUE SHIELD |
| California | Other | 205153800 | BLUE SHIELD |
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