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Trilogy Eye Medical Group, Inc.

Organization Active NPI Optometrist · La Quinta, CA

NPI 1154862647 · NPPES record last updated Apr 1, 2019

Key facts

NPI
1154862647
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
TRILOGY EYE MEDICAL GROUP, INC.
Practice address
47474 Washington St
La Quinta, CA 92253-8846
Phone
(760) 564-2500
Fax
(760) 564-2577
NPI assigned
Mar 16, 2017
Organization subpart
No

Authorized official

Name
Tom S Chang, MD
Title
Owner
Phone
(626) 568-8838

Corporate family (same tax ID) 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

National Provider Directory

Tax ID family
Trilogy Eye Medical Group Inc (33 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP		 152W00000X Yes
Specialist
Group: 193200000X MULTI-SPECIALTY GROUP		 174400000X CA
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207W00000X CA

Addresses

Primary practice location

47474 Washington St
La Quinta, CA 92253-8846

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205

Other identifiers

IdentifierTypeStateIssuer
1114205432MedicaidCA
FQ161AOtherCAMCR(S)
FQ161BOtherCAMCR(N)

Other names

  • ACUITY EYE SPECIALISTS Doing business as

Other providers in La Quinta, CA

All providers in La Quinta, CA · Optometrist in California

Sources for this page

Verify at the official NPI Registry.