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TRILOGY EYE MEDICAL GROUP INC NPI 1982045449


NPI Information

NPI: 1982045449
Provider Name: TRILOGY EYE MEDICAL GROUP, INC

Doing Business As: CALIFORNIA EYE AND EAR SPECIALISTS

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 05D2122149

Address:
17833 COLIMA RD
CITY OF INDUSTRY, CA
ZIP 91748
Phone: (626) 965-8895
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TRILOGY EYE MEDICAL GROUP, INC is an ophthalmology in City Of Industry, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. TRILOGY EYE MEDICAL GROUP, INC NPI is 1982045449. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As California Eye And Ear Specialists.

The provider's business location address is:

17833 COLIMA RD
CITY OF INDUSTRY, CA
ZIP 91748-729
Phone: (626) 965-8895
Fax: (626) 965-8876

The provider's authorized official is Tom S Chang .
The authorized official title is Founder/owner and has the following contact phone number (626) 289-2223.

The CLIA number assigned to this NPI record is 05D2122149 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2013 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristNo
2174400000XSpecialistCALIFORNIANo
3207WX0107XOphthalmologyRetina SpecialistCALIFORNIANo
4207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11114205432MEDICAIDCALIFORNIA
2FQ161AOTHERCALIFORNIAMCR(S)
3FQ161BOTHERCALIFORNIAMCR(N)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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