Provider Demographics
NPI:1205132370
Name:HECHT EYE INSTITUTE INC
Entity type:Organization
Organization Name:HECHT EYE INSTITUTE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:L
Authorized Official - Last Name:HECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-370-5648
Mailing Address - Street 1:4161 REDONDO BEACH BLVD FL 3
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-3306
Mailing Address - Country:US
Mailing Address - Phone:310-370-5648
Mailing Address - Fax:310-370-0449
Practice Address - Street 1:4161 REDONDO BEACH BLVD FL 3
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-3306
Practice Address - Country:US
Practice Address - Phone:310-370-5648
Practice Address - Fax:310-370-0449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA064034207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG69982Medicare UPIN