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DONALD E DICKERSON MD
NPI 1881726198
Ophthalmology in Santa Monica, CA

Active since March 12, 2007CLIA 05D2142763 · Waiver
1908 SANTA MONICA BLVD, SUITE 3, SANTA MONICA, CA 90404(310) 829-5475(310) 828-1359 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donald E Dickerson Md NPPES

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

DONALD E DICKERSON MD (NPI 1881726198) is a healthcare organization registered as an ophthalmology in Santa Monica, California and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Sheila D Siegal, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1881726198
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSANTA MONICA EYE MEDICAL GROUP
Location Address1908 SANTA MONICA BLVD, SUITE 3Santa Monica, CA 90404-1927
Mailing Address1908 Santa Monica Blvd, Suite 3Santa Monica, CA 90404-1927 · (310) 829-5475 · Fax (310) 828-1359
Phone(310) 829-5475
Fax(310) 828-1359
Organization SubpartNo
Authorized OfficialSheila D SiegalOffice Manager · (310) 829-5475
Enumeration DateMarch 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1881726198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · G6556
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.
1908 SANTA MONICA BLVD, Santa Monica, CA 90404
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Other Names 1

Other NameDonald E Dickerson Md

Other Identifiers 1

MedicaidZZZ348612CA

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

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 05D2142763

Santa Monica Eye Medical Group · Santa Monica, CA
Active · expires Jan 17, 2028
CLIA Number05D2142763
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorSadiqa Stelzner
Laboratory Phone(310) 829-5475
Laboratory LocationSanta Monica Eye Medical Group1908 Santa Monica Blvd Ste 3, Santa Monica, CA 90404
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 9

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

BRENDA NUYEN
Ophthalmology
1908 SANTA MONICA BLVD, STE 3
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5475
PANTHEA TIZABGAR
Pharmacist
1908 SANTA MONICA BLVD
SANTA MONICA, CA 90404
Los Angeles County (310) 315-9999
SMC PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
1908 SANTA MONICA BLVD, STE 4
SANTA MONICA, CA 90404
Los Angeles County (310) 315-9999
SANTA MONICA MEDICAL INSTITUTE INC
Ophthalmology
1908 SANTA MONICA BLVD, 3
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5475
DR. RICHARD J KIM D.D.S.
Dentist
1908 SANTA MONICA BLVD, #2
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5961
DR. PETER JOHN KAPPEL M.D.
Ophthalmology
1908 SANTA MONICA BLVD, SUITE 3
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5475
REISS WOZNAK MEDICAL CLINIC
General Practice
1908 SANTA MONICA BLVD, SUITE 5
SANTA MONICA, CA 90404
Los Angeles County (310) 828-5571
SADIQA STELZNER MD
Ophthalmology
1908 SANTA MONICA BLVD, SUITE 3
SANTA MONICA, CA 90404
Los Angeles County (310) 829-5475

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 Santa Monica Eye Medical Group's NPI number?

The NPI number for Santa Monica Eye Medical Group is 1881726198. It was assigned to this organization in the NPPES registry on March 12, 2007. The provider is also known as Donald E Dickerson MD.

Where is Santa Monica Eye Medical Group located?

Santa Monica Eye Medical Group is located at 1908 Santa Monica Blvd Suite 3, Santa Monica, CA 90404. The listed phone number is (310) 829-5475.

What is Santa Monica Eye Medical Group's specialty?

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

Does Santa Monica Eye Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2142763) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Santa Monica Eye Medical Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.