# MIRAMAR EYE SPECIALISTS MEDICAL GROUP, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MIRAMAR EYE SPECIALISTS MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992746382
- **Authorized official:** DR. JOEL CORWIN (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (805) 583-3950

## Contact information

- **Practice address:** 3085 LOMA VISTA RD, VENTURA, CA 93003-2916
- **Practice address phone:** (805) 648-3085
- **Practice address fax:** (805) 648-7027
- **Mailing address:** 3085 LOMA VISTA RD, VENTURA, CA 93003-2916
- **Mailing address phone:** (805) 648-3085
- **Mailing address fax:** (805) 648-7027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 02/11/2025
