DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC. – NPI #1114931052
Ophthalmology

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.

Health Care Provider Taxonomy Code for Ophthalmology

DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC. is an ophthalmologist located in MONTEBELLO, CA. NPPES has assigned the NPI number 1114931052 to DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC. on July 28, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 4 years ago on Aug 12, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC. below.

NPI Profile for
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.

NPI Number
1114931052
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DE LA PENA EYE CLINIC, A MEDICAL GROUP, INC.
Primary location
2446 W WHITTIER BLVD
MONTEBELLO, CA 90640-3041
Phone: (323) 728-5500 Fax: (323) 728-4408
Mailing address
401 COMMERCE ST STE 600
NASHVILLE, TN 37219-2518
Phone: (615) 345-6900 Fax:
Organization Subpart
No
Authorized Official
MARK KELLY
MEMBER, BOARD OF MANAGERS
Phone: (615) 345-6900
Updated
Certification Date
Aug 12, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
152W00000X
- Optometrist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.