Retina Institute PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA INSTITUTE PC

Practice address

30200 Agoura Rd Ste 140
Agoura Hills, CA 91301-5426

Phone

(747) 247-8400

Fax

(747) 247-8111

NPI assigned

Aug 5, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Moises Enghelberg, DONPI 1730570896

Title

Owner

Phone

(954) 701-3912

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Moises Enghelberg, D.O.

  • Ophthalmology Physician
  • Agoura Hills, CA
  • NPI 1730570896
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1023992641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 140",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015426",
            "telephone_number": "747-247-8400",
            "fax_number": "747-247-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 AGOURA RD STE 140",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913015426",
            "telephone_number": "747-247-8400",
            "fax_number": "747-247-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA INSTITUTE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "ENGHELBERG",
        "authorized_official_first_name": "MOISES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-701-3912",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.