# ELANDER EYE MEDICAL GROUP INC

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

## Provider details

- **NPI number:** 1801994363
- **Authorized official:** TROY ROBERT ELANDER M.D. (OWNER/VICE PRESIDENT)
- **Authorized official phone:** (310) 393-0634

## Contact information

- **Practice address:** 242 26TH ST, SANTA MONICA, CA 90402-2552
- **Practice address phone:** (310) 393-0634
- **Practice address fax:** (310) 451-4009
- **Mailing address:** 242 26TH ST, SANTA MONICA, CA 90402-2552
- **Mailing address phone:** (310) 393-0634
- **Mailing address fax:** (310) 451-4009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 12/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CK5309 | MEDICARE RAIL ROAD | CA |