Organization
CLEVE S MACKENZIE MD A MEDICAL CORPORATION
Active
Other names
Beach Eye Medical Group Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEVE S MACKENZIE MD (OWNER/PHYSICIAN)
(714) 965-9696
Entity
Organization
Contact information
Practice address
19582 BEACH BLVD STE 322, HUNTINGTON BEACH, CA 92648-5924
(714) 965-9696
(714) 965-9797
Mailing address
19582 BEACH BLVD STE 322, HUNTINGTON BEACH, CA 92648-5924
(714) 965-9696
(714) 965-9797
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0085210
—
CA
Enumeration date
08/31/2006
Last updated
03/19/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up