CALIFORNIA EYE CLINIC
NPI 1073658027
Ophthalmology in Antioch, CA

Active since February 20, 2007CLIA 05D2038246 · Waiver
3747 SUNSET LN, ANTIOCH, CA 94509(925) 754-2300 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About California Eye Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALIFORNIA EYE CLINIC (NPI 1073658027) is a healthcare organization registered as an ophthalmology in Antioch, California and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Carlie Diaz, Manager, as its authorized official.

NPPES Registry Identity

NPI1073658027
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameCALIFORNIA EYE CLINIC
Location Address3747 SUNSET LNAntioch, CA 94509-6101
Mailing Address3747 Sunset LnAntioch, CA 94509-6101 · (925) 754-2300
Organization SubpartNo
Authorized OfficialCarlie DiazManager · (925) 754-2300
Enumeration DateFebruary 20, 2007
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1073658027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
3747 SUNSET LN, Antioch, CA 94509

Other Identifiers 1

MedicaidGR0018430CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

California Eye Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to California Eye Clinic, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Optometry7
Ophthalmology5
Anesthesiology1

Clinicians, nearest first (13)

Optometry
NPI 1538325139
3747 SUNSET LN
Antioch, CA 94509
(925) 754-2300
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1063049195
3747 SUNSET LN
Antioch, CA 94509
(925) 754-2300
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1023152378
3747 SUNSET LN
Antioch, CA 94509
(925) 754-2300
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1982748232
3747 SUNSET LN
Antioch, CA 94509
(925) 754-2300
✔ PECOSSame address
Optometry
NPI 1558405712
3747 SUNSET LN
Antioch, CA 94509
(925) 754-2300
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1942344197
3747 SUNSET LN
Antioch, CA 94509
(925) 754-2300
✔ PECOSSame address
Optometry
NPI 1972057404
4501 SAND CREEK RD
Antioch, CA 94531
(925) 813-3280
✔ PECOS2.7 mi
Optometry
NPI 1346562659
100 N WIGET LN STE 270
Walnut Creek, CA 94598
(925) 705-7299
✔ PECOS13 mi
Optometry
NPI 1194876987
301 LENNON LN STE 201
Walnut Creek, CA 94598
(925) 932-1123
✔ PECOS✔ Accepts Medicare13 mi
Ophthalmology
NPI 1922014851
301 LENNON LANE SUITE 201
Walnut Creek, CA 94598
(925) 296-6100
✔ PECOS✔ Accepts Medicare13 mi
Anesthesiology
NPI 1245273531
347 ANDRIEUX ST
Sonoma, CA 94560
(707) 935-5000
✔ PECOS✔ Accepts Medicare42 mi
Ophthalmology
NPI 1770960866
710 LAWRENCE EXPY
Santa Clara, CA 95051
(408) 851-3834
✔ PECOS✔ Accepts Medicare46 mi
Optometry
NPI 1508857533
6945 EL CAJON BLVD
San Diego, CA 92115
(619) 697-4600
✔ PECOS✔ Accepts Medicare449 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2038246

California Eye Clinic A Med Group · Antioch, CA
Active · expires Mar 14, 2028
CLIA Number05D2038246
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorRobert S. Grosserode
Laboratory Phone(925) 754-2300
Laboratory LocationCalifornia Eye Clinic A Med Group3747 Sunset Ln, Antioch, CA 94531
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is California Eye Clinic's NPI number?

The NPI number for California Eye Clinic is 1073658027. It was assigned to this organization in the NPPES registry on February 20, 2007.

Where is California Eye Clinic located?

California Eye Clinic is located at 3747 Sunset Ln, Antioch, CA 94509. The listed phone number is (925) 754-2300.

What is California Eye Clinic's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is California Eye Clinic enrolled in Medicare?

Yes. California Eye Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through California Eye Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to California Eye Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (7), Ophthalmology (5) and Anesthesiology (1). Of these, 6 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does California Eye Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2038246) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does California Eye Clinic accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list California Eye Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for California Eye Clinic was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.