St. Mary'S Eye Center

LBN: St. Mary'S Eye Center
St. Mary'S Eye Center is an health care organization with primary practice located at 2222 Santa Monica Blvd Suite 107, Santa Monica CA 90404-2304. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. St. Mary'S Eye Center can be contacted via phone (310) 451-2020, or through Hoffer, Kenneth J. via phone (310) 451-2020.

Contact Information

Primary practice address
2222 Santa Monica Blvd Suite 107 Santa Monica CA 90404-2304
Phone: (310) 451-2020
Fax: (310) 451-1316
Website:
Map and Directions
Authorized official contact:
Name: Hoffer, Kenneth J. Doctor of Medicine (MD)
Phone: (310) 451-2020

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X H512723 California

Profile Details

NPI number 1619118452
LBN Legal business name St. Mary'S Eye Center
DBA Doing business as
Authorized official Hoffer, Kenneth J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2009
Last updated Mar 6th, 2009 - about 15 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 1619118452 NPPES
California Other G17108 MEDICAL LICENSE

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