EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC - NPI 1427052190

Q: What is Eye Treatment Center, An Incorporated Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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About Eye Treatment Center, An Incorporated Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC (NPI 1427052190) is a healthcare organization registered as an ophthalmology in Long Beach, California and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 8, 2026 and lists Irene F Sasaki, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1427052190

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameEYE TREATMENT CENTER, AN INCORPORATED MEDICAL GROUP, INC

Location Address3900 LONG BEACH BLVDLong Beach, CA 90807-2615

Mailing Address3900 Long Beach BlvdLong Beach, CA 90807-2615 · (562) 988-8668 · Fax (562) 988-8660

Phone(562) 988-8668

Fax(562) 988-8660

Organization SubpartNo

Authorized OfficialIrene F SasakiPresident/ceo · (562) 988-8668

Enumeration DateJune 9, 2005

Last NPPES UpdateMarch 18, 2016

✔ NPI 1427052190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · G72572

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3900 LONG BEACH BLVD, Long Beach, CA 90807

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Other Identifiers 3

Medicare NSC5236340001CA

Medicare PINCN3062CA

Medicare PINW2716CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2045276

Eye Treatment Center An Incorporated Medical Group · Long Beach, CA

Active · expires Aug 8, 2026

CLIA Number05D2045276

Laboratory TypePhysician Office

Certificate Effective DateAugust 9, 2024

Certificate Expiration DateAugust 8, 2026

Laboratory DirectorAudrey Mok

Laboratory Phone(562) 988-8668

Laboratory LocationEye Treatment Center An Incorporated Medical Group3900 Long Beach Blvd, Long Beach, CA 90807

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THRIVE HEALTH IV CLINIC, P.C.

Clinic/Center (Multi-Specialty)