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NPI Code Detail

MEDICARE: DR. JAY MESSINGER

MEDICARE: DR. JAY MESSINGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOPT 5433TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114001419
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. JAY MESSINGER
Provider Business Mailing Address
First Line : 3267 CORINTH AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90066-1310
Country : US
Telephone Number : 310-631-3660
Fax Number : 310-631-9264
Provider Business Practice Location Address
First Line : 318 E COMPTON BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90221-3206
Country : US
Telephone Number : 310-631-3660
Fax Number : 310-631-9264
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. JAY H. MESSINGER
Credential : O.D.
Telephone Number : 310-631-3660
Provider Enumeration Date : 10/24/2006
Last Update Date : 09/16/2014

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