# 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:** 1962677013
- **Authorized official:** MR. GEORGE NEAL (ASSISTANT SECRETARY)
- **Authorized official phone:** (844) 377-6468

## Contact information

- **Practice address:** 521 E ELDER ST, SUITE 102, FALLBROOK, CA 92028-3081
- **Practice address phone:** (760) 728-5728
- **Practice address fax:** (951) 266-5302
- **Mailing address:** PO BOX 845426, LOS ANGELES, CA 90084-9054
- **Mailing address phone:** (607) 285-7287
- **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:** 04/29/2008
- **Last updated:** 03/12/2020