Organization Active NPI

Retina Associates Medical Group, Inc.

  • Eyewear Supplier
  • Orange, CA
National Provider Identifier
1154338598
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
RETINA ASSOCIATES MEDICAL GROUP, INC.
Practice address
436 South Glassell St
Orange, CA 92866
Phone
(714) 633-6060
Fax
(714) 633-7470
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Robert F Ruper, M.D.
Title
Ceo-Owner
Phone
(714) 633-6060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X CA
Eyewear Supplier 332H00000X CA Primary

Addresses

Primary practice location

436 South Glassell St
Orange, CA 92866

Mailing address

436 South Glassell St
Orange, CA 92866
Phone (714) 633-6060

Other names 1

  • The Retina Institute Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154338598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 SOUTH GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92866",
            "telephone_number": "714-633-6060",
            "fax_number": "714-633-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 SOUTH GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92866",
            "telephone_number": "714-633-6060",
            "fax_number": "714-633-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RUPER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO-OWNER",
        "authorized_official_telephone_number": "714-633-6060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Retina Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.