Trilogy Eye Medical Group, Inc
Organization Active NPI Ophthalmology Physician · La Mesa, CA
NPI 1053584474 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1053584474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- TRILOGY EYE MEDICAL GROUP, INC
- Practice address
- 5565 Grossmont Center Dr Ste 551
La Mesa, CA 91942-3078 - Phone
- (619) 465-2020
- Fax
- (619) 698-1189
- NPI assigned
- Apr 7, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- TRILOGY EYE MEDICAL GROUP, INC
Authorized official
- Name
- Dr. Tom S Chang, M.D.
- Title
- Founder/Owner
- Phone
- (626) 269-5311
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Trilogy Eye Medical Group Inc
- Part of
- Trilogy Eye Medical Group Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | CA | ||
| Specialist |
174400000X | CA | ||
| Ophthalmology Physician |
207W00000X | CA | Yes |
Addresses
Primary practice location
5565 Grossmont Center Dr Ste 551
La Mesa, CA 91942-3078
Mailing address
100 E California Blvd
Pasadena, CA 91105-3205
Phone (888) 884-3805
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114205432 | Medicaid | CA |
Other names
- Acuity Eye Specialists
Other providers in La Mesa, CA
- Triad Medical Group, Inc.
- Triana Enterprises LLC
- Triana Medical Supply
- Rachel Leigh Tribble
- Christine L Trigeiro
- Trilogy Eye Medical Group, Inc.
- Dorothy Trogler
- Tere E Trout
- True Function Laboratory, Inc.
- Mariellen True
All providers in La Mesa, CA · Ophthalmology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.