SOUTH LA EYE CLINIC
NPI 1710706874
Ophthalmology in Los Angeles, CA
About South La Eye Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTH LA EYE CLINIC (NPI 1710706874) is a healthcare organization registered as an ophthalmology in Los Angeles, California and active in the NPI registry since October 2024. The organization lists Luis Maldonado, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
South La Eye Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to South La Eye Clinic, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is South La Eye Clinic's NPI number?
The NPI number for South La Eye Clinic is 1710706874. It was assigned to this organization in the NPPES registry on October 7, 2024.
Where is South La Eye Clinic located?
South La Eye Clinic is located at 231 W Vernon Ave Ste 104, Los Angeles, CA 90037. The listed phone number is (323) 233-6271.
What is South La Eye Clinic's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is South La Eye Clinic enrolled in Medicare?
Yes. South La Eye Clinic is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through South La Eye Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to South La Eye Clinic, in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for South La Eye Clinic was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# South La Eye Clinic · NPI 1710706874
Ophthalmology organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since October 7, 2024.
## Identity
- **NPI:** 1710706874 (Entity type: Organization)
- **Enumerated:** October 7, 2024
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Luis Maldonado, OFFICE MANAGER
## Practice location
- **Address:** 231 W VERNON AVE STE 104, Los Angeles, CA 90037-2778
- **Phone:** (323) 233-6271 · **Fax:** (323) 233-8196
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (2), Optometry (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1710706874) · Data from the CMS NPPES public registry.