NPIMap

Organization Active NPI

Retina Institute of California Medical Group, a California Medical Par

Doing business as Acuity Optical

  • Optometrist
  • Indio, CA
National Provider Identifier
1679249676
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Doing business as
Acuity Optical
Practice address
81952 US Highway 111
Suite B, C, D
Indio, CA 92201-9716
Phone
(442) 300-9209
Fax
(442) 300-9266
NPI assigned
Aug 19, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Tom S Chang, MD
Title
Ceo, Managing Partner
Phone
(800) 898-2020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Ophthalmology Physician 207W00000X

Addresses

Primary practice location

81952 US Highway 111
Suite B, C, D
Indio, CA 92201-9716

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205
Phone (800) 898-2020

Other names 1

  • Acuity Optical Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Retina Institute of California Medical Group a California Medical Par37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

Locations

81952 US Highway 111
Ste B
Indio, CA 92201
Phone (442) 300-9209

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1679249676",
    "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": "800-898-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81952 US HIGHWAY 111",
            "address_2": "SUITE B, C, D",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922019716",
            "telephone_number": "442-300-9209",
            "fax_number": "442-300-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO, MANAGING PARTNER",
        "authorized_official_telephone_number": "800-898-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acuity Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Acuity Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indio, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.