CALIFORNIA RETINA CONSULTANTS NPI 1134399462

NPI Information

CALIFORNIA RETINA CONSULTANTS is a retina specialist ophthalmology in Templeton, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. CALIFORNIA RETINA CONSULTANTS NPI is 1134399462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1050 LAS TABLAS RD
SUITE C
TEMPLETON, CA
ZIP 93465-729
Phone: (805) 434-5450

The provider's authorized official is Robert Logan Avery .
The authorized official title is Chief Executive Officer and has the following contact phone number (805) 963-1648.

The CLIA number assigned to this NPI record is 05D2030499 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2008 and was last updated on 3/4/2022.

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:

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