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HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD & EDWARD KIM MD INC NPI 1356371074


NPI Information

NPI: 1356371074
Provider Name: HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD & EDWARD KIM MD INC

Doing Business As: HARVARD EYE ASSOCIATES

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 05D2106329

Address:
24401 CALLE DE LA LOUISA
SUITE 300
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 951-2020
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HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD & EDWARD KIM MD INC is an ophthalmology in Laguna Hills, CA. The provider is 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. HARVARD EYE ASSOCIATES FKA ROGER OHANESIAN MD & EDWARD KIM MD INC NPI is 1356371074. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Harvard Eye Associates.

The provider's business location address is:

24401 CALLE DE LA LOUISA
SUITE 300
LAGUNA HILLS, CA
ZIP 92653-623
Phone: (949) 951-2020
Fax: (949) 900-5321

The provider's authorized official is Roger V. Ohanesian .
The authorized official title is Partner and has the following contact phone number (949) 951-2020.

The CLIA number assigned to this NPI record is 05D2106329 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 6/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0044550MEDICAIDCALIFORNIA
2W3786AMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3W3786BMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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