Trilogy Eye Medical Group, Inc.
Organization Active NPI Ophthalmology Physician · San Diego, CA
NPI 1134574015 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1134574015
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- TRILOGY EYE MEDICAL GROUP, INC.
- Practice address
- 4344 Convoy St Ste C2
San Diego, CA 92111-3737 - Phone
- (858) 565-8822
- Fax
- (858) 565-2449
- NPI assigned
- Apr 28, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Tom S Chang, M
- Title
- Founder
- Phone
- (626) 568-8838
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Trilogy Eye Medical Group Inc
Locations
4344 Convoy St
Ste C2
San Diego, CA 92111
Phone (858) 565-8822
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | CA | ||
| Specialist |
174400000X | CA | ||
| Ophthalmology Physician |
207W00000X | CA | Yes |
Addresses
Primary practice location
4344 Convoy St Ste C2
San Diego, CA 92111-3737
Mailing address
100 E California Blvd
Pasadena, CA 91105-3205
Phone (626) 568-8838
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114205432 | Medicaid | CA | |
| FQ161A | Other | CA | MCR (S) |
| FQ161B | Other | CA | MCR (N) |
Other names
- ACUITY EYE SPECIALISTS
- California Eye and Ear Specialists
Other providers in San Diego, CA
- Thi Trieu
- Maria Trigazis
- Vincente Trillo-Park
- Holly Nicole Trillo
- Manuel Trillo Jr.
- Trilogy Eye Medical Group, Inc.
- Trilogy Eye Medical Group, Inc.
- Julie Trim
- Ryan Scott Trim
- Giovanni Trimble
All providers in San Diego, 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.