NPIMap

Organization Active NPI

Trilogy Eye Medical Group, Inc.

  • Specialist
  • Lancaster, CA
National Provider Identifier
1851784011
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A69909 Issued in CA
Legal business name
TRILOGY EYE MEDICAL GROUP, INC.
Doing business as
ACUITY EYE SPECIALISTS
California Eye and Ear Specialists
Practice address
44815 Fig Ave
Lancaster, CA 93534-3144
Phone
(661) 206-9753
Fax
(661) 941-4302
NPI assigned
Mar 12, 2015
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, M.D.
Title
Founder
Phone
(626) 568-8838

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X A69909 CA
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A69909 CA Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X CA

Addresses

Primary practice location

44815 Fig Ave
Lancaster, CA 93534-3144

Mailing address

100 E California Blvd
Pasadena, CA 91105-3205
Phone (626) 568-8838

Other identifiers 3

IdentifierTypeStateIssuer
1114205432MedicaidCA
FQ161AOtherCAMCR(S)
FQ161BOtherCAMCR(N)

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 Medical Group 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

Locations

44815 Fig Ave
Lancaster, CA 93534
Phone (661) 206-8469

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851784011",
    "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": "44815 FIG AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343144",
            "telephone_number": "661-206-9753",
            "fax_number": "661-941-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILOGY EYE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "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",
        "authorized_official_telephone_number": "626-568-8838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "A69909",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A69909",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114205432",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR(S)",
            "identifier": "FQ161A",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR(N)",
            "identifier": "FQ161B",
            "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 Lancaster, 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.