Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EYE CARE FOR DIABETICS MEDICAL GROUP, INC
Active
Organization
EYE CARE FOR DIABETICS MEDICAL GROUP, INC
Active
Other names
Eye Care for Diabetics Medical Group, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY W VAUGHN MD (OPHTHALMOLOGIST)
(310) 671-0909
Entity
Organization
Contact information
Practice address
323 N PRAIRIE AVE, 217, INGLEWOOD, CA 90301-4502
(310) 671-0909
(310) 412-0066
Mailing address
323 N PRAIRIE AVE, 217, INGLEWOOD, CA 90301-4502
(310) 671-0909
(310) 412-0066
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00305761
—
CA
Enumeration date
07/16/2007
Last updated
06/04/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers