Organization Active NPI

Trilogy Eye Medical Group Inc

Doing business as Acuity Eye Specialists

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1114205432
Registry record updated Aug 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TRILOGY EYE MEDICAL GROUP INC
Doing business as
Acuity Eye Specialists
California Eye and Ear Specialists Medical Group
Practice address
100 E California Blvd
Pasadena, CA 91105-3205
Phone
(626) 568-8838
Fax
(626) 796-7657
NPI assigned
Aug 3, 2011
Last updated
Aug 23, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
TRILOGY EYE MEDICAL GROUP INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2017

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

Authorized official

Name
Mr. Tom S Chang, M.D.NPI 1609848969
Title
Founder/Owner
Phone
(626) 269-5311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA
Ophthalmology Physician 207W00000X CA Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X CA

Addresses

Primary practice location

100 E California Blvd
Pasadena, CA 91105-3205

Mailing address

100 E. California Blvd
Pasadena, CA 91105-3205
Phone (888) 884-3805

Other identifiers 1

IdentifierTypeStateIssuer
1114205432MedicaidCA

Other names 2

  • Acuity Eye Specialists Doing business as
  • CALIFORNIA EYE AND EAR SPECIALISTS MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory
Part of
Trilogy Eye Medical Group Inc

Locations

301 W Huntington Dr
Ste 107
Arcadia, CA 91007
Phone (626) 574-0020

1420 Ocotillo Dr
Ste D
El Centro, CA 92243
Phone (760) 353-1140

2240 N Harbor Blvd
Ste 210
Fullerton, CA 92835
Phone (714) 278-1834

3816 Woodruff Ave
Ste 100
Long Beach, CA 90808
Phone (562) 424-0931

1801 E Tahquitz Canyon Way
Ste 200
Palm Springs, CA 92262
Phone (760) 327-2700

4413 La Jolla Village Dr
Ste P1
San Diego, CA 92122
Phone (619) 697-4600

14501 Magnolia St
Ste 103
Westminster, CA 92683
Phone (714) 594-7575

18340 Yorba Linda Blvd
Ste 108
Yorba Linda, CA 92886

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1114205432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E. CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "888-884-3805",
            "fax_number": "626-796-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CALIFORNIA BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053205",
            "telephone_number": "626-568-8838",
            "fax_number": "626-796-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY EYE MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRILOGY EYE MEDICAL GROUP INC.",
        "enumeration_date": "2011-08-03",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "626-269-5311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114205432",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acuity Eye Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CALIFORNIA EYE AND EAR SPECIALISTS MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.