Retina Institute of California Medical Group, a California Medical Par

Primary specialty

OptometristTaxonomy code 152W00000X

License

A69909 Issued in CA

Legal business name

RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR

Practice address

11525 Brookshire Ave # 201a
Downey, CA 90241-4985

Phone

(562) 862-6200

Fax

(562) 862-6233

NPI assigned

Mar 13, 2015

Organization subpart

No

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

Phone

(626) 568-8838

Specialties & licenses 1

Addresses

Other names 1

• Acuity Eye Group Doing business as

Locations

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1831582998",
    "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": "626-568-8838",
            "fax_number": "626-574-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 BROOKSHIRE AVE # 201A",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902414985",
            "telephone_number": "562-862-6200",
            "fax_number": "562-862-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-13",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "626-568-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "A69909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acuity Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee Smith MD a Professional Corporation
• Lisa Rae Repp, B.A.
• Carlos Fernando Resendiz
• Grace Marie Resnik, M.S. CCC-SLP
• Julian David Restrepo Castrillon, DDS
• Jennifer Revelo, FNP
• Angel Elizabeth Reyes Garcia
• Claudia Lorena Reyes
• Janelly G Reyes, AMFT 131116
• Odalis Reyes

• Optometrist in Downey, CA
• Providers in Downey, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.