# INLAND EYE SPECIALISTS A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Inland Eye Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942235643
- **Authorized official:** MR. GEORGE NEAL (ASSISTANT SECRETARY)
- **Authorized official phone:** (469) 214-0144

## Contact information

- **Practice address:** 25395 HANCOCK AVE, SUITE 100, MURRIETA, CA 92562-9054
- **Practice address phone:** (951) 696-5388
- **Practice address fax:** (951) 266-5302
- **Mailing address:** PO BOX 845426, LOS ANGELES, CA 90084-5426
- **Mailing address phone:** (951) 696-5388
- **Mailing address fax:** (951) 266-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 02/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0044192 | — | CA |
| 05 | — | GSD003101 | — | CA |