Doctor Retina

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

A120462 Issued in CA

Legal business name

DOCTOR RETINA

Practice address

8383 Wilshire Blvd Ste 440
Beverly Hills, CA 90211-2436

Phone

(310) 571-5026

Fax

(844) 373-8462

NPI assigned

Mar 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Maziar Lalezary, MDNPI 1710170253

Title

President/Ceo

Phone

(310) 571-5026

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/201220/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maziar Lalezary, MD

  • Retina Specialist (Ophthalmology) Physician
  • Beverly Hills, CA
  • NPI 1710170253

  Single Specialty

  Medicare reassignment NPD Authorized official
• Kambiz Silani, O.D.

  • Corneal and Contact Management Optometrist
  • Beverly Hills, CA
  • NPI 1649602939
  NPD (past)

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1487049185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD STE 440",
            "address_2": "SUITE 440",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112436",
            "telephone_number": "310-571-5026",
            "fax_number": "844-373-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD STE 440",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112436",
            "telephone_number": "310-571-5026",
            "fax_number": "844-373-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR RETINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "LALEZARY",
        "authorized_official_first_name": "MAZIAR",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-571-5026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "CA",
            "license": "A120462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marie Dittmar, M.D.
• DNB Footcare Ca PC
• Lanvi Thuy DO, DDS
• Jeri A Doane, PHD
• Doctor Michele, LLC
• William Dodd, HAD
• Suhail Y Dohad, M.D.
• Doheny Endosurgical Center Inc
• Doheny Surgery Center, LLC
• Elisabeth Doherty

• Ophthalmologic Surgery Clinic/Center in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Ophthalmologic Surgery Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.