{"npi":"1306812979","type":"NPI-1","status":"active","name":{"display":"Dr. Charles Eifrig M.D.","other":[],"first":"CHARLES","last":"EIFRIG","middle":"WILLIAM GUSTAV","credential":"M.D."},"specialty":{"primary_taxonomy":"207WX0107X","primary_taxonomy_description":"Retina Specialist (Ophthalmology) Physician","slug":"retina-specialist-ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":false,"state":"NC","license":"200300335"},{"code":"207W00000X","description":"Ophthalmology Physician","primary":false,"state":"CA","license":"C53104"},{"code":"207WX0107X","description":"Retina Specialist (Ophthalmology) Physician","primary":true,"state":"CA","license":"C53104"}]},"addresses":[{"purpose":"LOCATION","street_1":"23521 PASEO DE VALENCIA","city":"LAGUNA HILLS","state":"CA","postal_code":"926533107","country_code":"US","street_2":"SUITE 207 (TAJ MAJAL BUILDING)","phone":"9497075125"},{"purpose":"MAILING","street_1":"23521 PASEO DE VALENCIA","city":"LAGUNA HILLS","state":"CA","postal_code":"926533107","country_code":"US","street_2":"SUITE 207 (TAJ MAJAL BUILDING)","phone":"9497075125"}],"license":{"state":"CA","number":"C53104"},"identifiers":[{"type_code":"01","label":"Other","value":"DB4007","state":null,"issuer":"RAILROAD MEDICARE GROUP"},{"type_code":"01","label":"Other","value":"P00102182","state":null,"issuer":"RR MEDICARE INDIVIDUAL ID"},{"type_code":"01","label":"Other","value":"562043271","state":null,"issuer":"OPTICARE GROUP ID"},{"type_code":"01","label":"Other","value":"134EF","state":null,"issuer":"BCBS INDIVIDUAL ID"},{"type_code":"01","label":"Other","value":"2090301","state":null,"issuer":"UNITED HEALTHCARE INDIVID"},{"type_code":"01","label":"Other","value":"562043271","state":null,"issuer":"MAMSI GROUP ID"},{"type_code":"01","label":"Other","value":"562043271","state":null,"issuer":"UNITED HEALTHCARE GROUP"},{"type_code":"01","label":"Other","value":"C7150","state":null,"issuer":"MEDCOST INDIVIDUAL ID"},{"type_code":"01","label":"Other","value":"26600","state":null,"issuer":"OPTICARE INDIVIDUAL ID"},{"type_code":"01","label":"Other","value":"562043271","state":null,"issuer":"MEDCOST GROUP ID"},{"type_code":"05","label":"Medicaid","value":"89134EF","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"2115757","state":null,"issuer":"MAMSI INDIVIDUAL ID"},{"type_code":"01","label":"Other","value":"3201207","state":null,"issuer":"AETNA HMO INDIVIDUAL ID"},{"type_code":"01","label":"Other","value":"7674444","state":null,"issuer":"AETNA PPO INDIVIDUAL ID"},{"type_code":"01","label":"Other","value":"014T8","state":null,"issuer":"BCBS GROUP ID"},{"type_code":"05","label":"Medicaid","value":"89014T8","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"562043271","state":null,"issuer":"AETNA HMO/PPO GROUP ID"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080411000262","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"CA","pac_id":"2961433198"}]},"enumeration_date":"2006-02-24","last_updated":"2017-03-31","_meta":{"source":"NPPES","snapshot_date":"2017-03-31","doc_url":"https://findmynpi.com/api"}}