# EYE CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861374571
- **Authorized official:** JULIA SONG MD (PRESIDENT/CEO)
- **Authorized official phone:** (847) 922-2288

## Contact information

- **Practice address:** 1111 S FAIR OAKS AVE, PASADENA, CA 91105-3415
- **Practice address phone:** (847) 922-2288
- **Practice address fax:** (562) 427-2525
- **Mailing address:** PO BOX 2020, MANHATTAN BEACH, CA 90267-2020
- **Mailing address phone:** (847) 922-2288
- **Mailing address fax:** (562) 427-2525

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2025
- **Last updated:** 07/23/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A877530 | — | CA |
