NPIMap

Organization Active NPI

Trilogy Eye Medical Group, Inc

Doing business as Acuity Eye Specialists

  • Ophthalmology Physician
  • Los Angeles, CA
National Provider Identifier
1588099097
Registry record updated Jul 21, 2022
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
Practice address
2400 N Broadway
Los Angeles, CA 90031-2219
Phone
(323) 221-8000
Fax
(323) 221-0738
NPI assigned
Sep 4, 2013
Last updated
Jul 21, 2022By the provider in NPPES
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
Dr. Tom S Chang, MD
Title
Founder/Owner
Phone
(800) 898-2020

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Specialist 174400000X CA
Ophthalmology Physician 207W00000X Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X

Addresses

Primary practice location

2400 N Broadway
Los Angeles, CA 90031-2219

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205
Phone (626) 574-0020

Other identifiers 3

IdentifierTypeStateIssuer
FQ161BOtherCAMCR(N)
FQ161AOtherCAMCR(S)
1114205432MedicaidCA

Other names 2

  • ACUITY EYE SPECIALISTS Doing business as
  • CALIFORNIA EYE AND EAR SPECIALISTS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trilogy Eye Med GRP Inc33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588099097",
    "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": "626-574-0020",
            "fax_number": "626-574-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900312219",
            "telephone_number": "323-221-8000",
            "fax_number": "323-221-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY EYE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-04",
        "last_updated": "2022-07-21",
        "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": "800-898-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR(N)",
            "identifier": "FQ161B",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR(S)",
            "identifier": "FQ161A",
            "state": "CA"
        },
        {
            "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",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, 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.