LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
NPI 1164406021
Specialist in Long Beach, CA
NPI Status: Active since December 05, 2005
Contact Information
3300 E SOUTH ST
SUITE 105
LONG BEACH, CA
ZIP 90805
Phone: (562) 531-2020
Fax: (562) 531-1142
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 05D1106748
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 10-20-2027
About LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Lakewood Eye Physicians And Surgeons Inc A Medical Group, a provider established in Long Beach, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1164406021 assigned on December 2005. The practitioner's primary taxonomy code is 174400000X with license number S551044 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. Lakewood Eye Physicians And Surgeons Inc A Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Caroline Barragan (Credentialing)
- NPI
- 1164406021
- Provider Name
- LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 3300 E SOUTH ST SUITE 105 LONG BEACH, CA 90805
- Location Phone
- (562) 531-2020
- Location Fax
- (562) 531-1142
- Mailing Address
- 3300 E SOUTH ST SUITE 105 LONG BEACH, CA 90805
- Mailing Phone
- (562) 531-2020
- Mailing Fax
- (562) 531-1142
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-05-2005
- Last Update Date
- 02-27-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- S551044
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
- BlueSelect Silver Classic - PPO
- BlueSelect Silver Classic without Kid's Dental - PPO
- BlueSelect Silver HealthPlus - PPO
- BlueSelect Silver HealthPlus without Kid's Dental - PPO
- BlueSelect Silver Standard without Kid's Dental - PPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| W4037 | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | MEDICAL |
| 0822160001 | MEDICARE NSC (07) | CA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1106748
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- October 21, 2025
- Certificate Expiration Date
- October 20, 2027
- Laboratory Director
- LARRY A. PASQUALI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Lakewood Eye Physicians And Surgeons Inc A Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for LAKEWOOD EYE PHYSICIANS AND SURGEONS INC A MEDICAL GROUP
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164406021, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LONG BEACH, CA 90805
LAKEWOOD, CA 90805
LAKEWOOD, CA 90805
LONG BEACH, CA 90805
LAKEWOOD, CA 90805
LAKEWOOD, CA 90805
LAKEWOOD, CA 90805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164406021, enumerated as an "organization" on December 05, 2005.
The provider is located at 3300 E SOUTH ST SUITE 105 LONG BEACH, CA 90805 and the phone number is (562) 531-2020.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.
