# CENTURY EYE CARE MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Century Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184736357
- **Authorized official:** CYNTHIA GASCON (BILLING&FINANCE EXECUTIVE ADMINISTR)
- **Authorized official phone:** (310) 767-7814

## Contact information

- **Practice address:** 1141 W REDONDO BEACH BLVD, SUITE 101, GARDENA, CA 90247-3585
- **Practice address phone:** (310) 767-7814
- **Practice address fax:** (310) 323-3785
- **Mailing address:** 1141 W REDONDO BEACH BLVD, SUITE 101, GARDENA, CA 90247-3586
- **Mailing address phone:** (310) 767-7814
- **Mailing address fax:** (310) 323-3785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G83156 | CA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 12/31/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | W17217 | — | CA |
| 05 | — | W17217A | — | CA |