Provider Demographics
NPI:1639437536
Name:NORTH COUNTY EYE PHYSICIANS, INC
Entity Type:Organization
Organization Name:NORTH COUNTY EYE PHYSICIANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORNE
Authorized Official - Middle Name:D
Authorized Official - Last Name:KAPNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-738-9985
Mailing Address - Street 1:225 E 2ND AVE
Mailing Address - Street 2:SUITE 310
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4212
Mailing Address - Country:US
Mailing Address - Phone:760-738-9985
Mailing Address - Fax:800-838-2695
Practice Address - Street 1:15706 POMERADO RD STE 103
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2032
Practice Address - Country:US
Practice Address - Phone:858-451-8600
Practice Address - Fax:858-451-8383
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH COUNTY EYE CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-27
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80041207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty