| Miramar Eye Specialists Medical Group, Inc | |
|
3085 Loma Vista Rd, Ventura, CA 93003-2916 | |
| (805) 648-3085 | |
| (805) 648-7027 |
| Full Name | Miramar Eye Specialists Medical Group, Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3085 Loma Vista Rd, Ventura, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992746382 | NPI | - | NPPES |
| 110369658 | Other | CA | CHAMPUS |
| 205153800 | Other | CA | US DEPT. OF LABOR |
| CI5426 | Other | CA | RAILROAD MEDICARE |
| ZZZ51212Z | Other | CA | BLUE SHIELD |
| GR0076890 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Daniel A Ebroon |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023050655 PECOS PAC ID: 3072400290 Enrollment ID: I20040311000961 |
| Provider Name | Joel M Corwin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1518901651 PECOS PAC ID: 3476440694 Enrollment ID: I20040920000573 |
| Provider Name | John L Davidson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205870748 PECOS PAC ID: 8628965845 Enrollment ID: I20040920000712 |
| Provider Name | Stephen G Langsford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760529275 PECOS PAC ID: 8729014642 Enrollment ID: I20050712001092 |
| Provider Name | Tunghi Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649201518 PECOS PAC ID: 6204858889 Enrollment ID: I20051222000762 |
| Provider Name | Leon G Partamian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700808904 PECOS PAC ID: 2860416096 Enrollment ID: I20060114000109 |
| Provider Name | Joshua Hedaya |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1881618023 PECOS PAC ID: 5991705279 Enrollment ID: I20070110000592 |
| Provider Name | Noelene K Pang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1396927729 PECOS PAC ID: 2567545924 Enrollment ID: I20080208000350 |
| Provider Name | Anya Trumler-sebring |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1487774949 PECOS PAC ID: 4486708955 Enrollment ID: I20090818000509 |
| Provider Name | Mark Allen Brunette |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538105846 PECOS PAC ID: 4385778323 Enrollment ID: I20100812001073 |
| Provider Name | Michael B Boggs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447287503 PECOS PAC ID: 3577688712 Enrollment ID: I20100913000216 |
| Provider Name | William Louis Trotter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447290515 PECOS PAC ID: 3173658952 Enrollment ID: I20100922000219 |
| Provider Name | George S Hoffman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689869356 PECOS PAC ID: 5294726139 Enrollment ID: I20101027001223 |
| Provider Name | Roy T Butera |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730205337 PECOS PAC ID: 1951298173 Enrollment ID: I20101102000506 |
| Provider Name | Devin Hymas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538383864 PECOS PAC ID: 6800921685 Enrollment ID: I20101102000971 |
| Provider Name | Roberto Roizenblatt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1952564064 PECOS PAC ID: 3577741313 Enrollment ID: I20110628000010 |
| Provider Name | John P Fang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467461574 PECOS PAC ID: 6800890260 Enrollment ID: I20110908001790 |
| Provider Name | Karyn Teel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073771697 PECOS PAC ID: 9830241793 Enrollment ID: I20120514000459 |
| Provider Name | Savannah Eden Greyrose Baril |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1235372905 PECOS PAC ID: 2365600806 Enrollment ID: I20160224001926 |
| Provider Name | Doanh C Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366895062 PECOS PAC ID: 5294022927 Enrollment ID: I20160923001814 |
| Provider Name | John M. Ora |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124540489 PECOS PAC ID: 4688923162 Enrollment ID: I20180816000458 |
| Provider Name | Terry Yu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346737467 PECOS PAC ID: 3072864602 Enrollment ID: I20180920003245 |
| Provider Name | Alexander H De Castro-abeger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902255367 PECOS PAC ID: 5092002394 Enrollment ID: I20210916003139 |
| Provider Name | Vladislav Bekerman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285138362 PECOS PAC ID: 8820477631 Enrollment ID: I20220624002674 |
| Provider Name | Steven L Carter |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275038267 PECOS PAC ID: 8325470834 Enrollment ID: I20220707001958 |
| Provider Name | Pegah Raven |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447560388 PECOS PAC ID: 1557540929 Enrollment ID: I20221013002581 |
| Provider Name | Yara Chiha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013632272 PECOS PAC ID: 2264809250 Enrollment ID: I20221103002560 |
| Provider Name | Philina S Yee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730642596 PECOS PAC ID: 3476887068 Enrollment ID: I20230801003993 |
| Provider Name | Kristine Shahverdyan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316786643 PECOS PAC ID: 4486199106 Enrollment ID: I20240717002114 |
| Provider Name | Elisya Younan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538983168 PECOS PAC ID: 0648706473 Enrollment ID: I20241204000407 |
| Provider Name | Emily Locket Fant |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447346416 PECOS PAC ID: 3971517079 Enrollment ID: I20250312001638 |
| Mailing Address | Practice Location Address |
|---|---|
| Miramar Eye Specialists Medical Group, Inc 3085 Loma Vista Rd, Ventura, CA 93003-2916 Ph: (805) 648-3085 | Miramar Eye Specialists Medical Group, Inc 3085 Loma Vista Rd, Ventura, CA 93003-2916 Ph: (805) 648-3085 |