EAST BAY RETINA CONSULTANTS, INC.
NPI 1124319959
Ophthalmology in Concord, CA

Q: What is East Bay Retina Consultants A Medical Group, Inc.'s specialty?

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

Active since April 27, 2011CLIA 05D1071572 · Waiver

1401 WILLOW PASS RD, SUITE 120, CONCORD, CA 94520(925) 680-1600(925) 680-1602 Get Directions Write a Review

NPPES record last updated: February 29, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About East Bay Retina Consultants, Inc. NPPES

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

EAST BAY RETINA CONSULTANTS, INC. (NPI 1124319959) is a healthcare organization registered as an ophthalmology in Concord, California and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Soon T Lee, Corporate Vice President, as its authorized official.

NPPES Registry Identity

NPI1124319959

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameEAST BAY RETINA CONSULTANTS A MEDICAL GROUP, INC.

Location Address1401 WILLOW PASS RD, SUITE 120Concord, CA 94520-7982

Mailing Address3300 Telegraph AveOakland, CA 94609-3028 · (510) 444-1600 · Fax (510) 444-1828

Phone(925) 680-1600

Fax(925) 680-1602

Organization SubpartNo

Authorized OfficialSoon T LeeCorporate Vice President · (510) 444-1600

Enumeration DateApril 27, 2011

Last NPPES UpdateFebruary 29, 2016

✔ NPI 1124319959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A44312

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.

1401 WILLOW PASS RD, Concord, CA 94520

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Other Names 1

Doing Business AsEast Bay Retina Consultants, Inc.

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

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 05D1071572

East Bay Retina Consultants, Inc · Oakland, CA

Active · expires Jul 26, 2027

CLIA Number05D1071572

Laboratory TypePhysician Office

Certificate Effective DateJuly 27, 2025

Certificate Expiration DateJuly 26, 2027

Laboratory DirectorEugene S. Lit, MD

Laboratory Phone(510) 444-1600

Laboratory LocationEast Bay Retina Consultants, Inc3300 Telegraph Avenue, Oakland, CA 94609

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL INSIGHTS DIAGNOSTIC

Radiology (Diagnostic Radiology)

1401 WILLOW PASS RD, SUITE 110
CONCORD, CA 94520

Contra Costa County (925) 691-6432

CORAM HEALTHCARE CORPORATION OF NORTHERN CALIFORNIA

Home Infusion

1401 WILLOW PASS RD
CONCORD, CA 94520

Contra Costa County (323) 371-5046

DR. VIRGIL L WILLIAMS M.D.

Specialist

1401 WILLOW PASS RD, STE 110
CONCORD, CA 94520

Contra Costa County (925) 691-6432

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 East Bay Retina Consultants A Medical Group, Inc.'s NPI number?

The NPI number for East Bay Retina Consultants A Medical Group, Inc. is 1124319959. It was assigned to this organization in the NPPES registry on April 27, 2011. The provider is doing business as East Bay Retina Consultants, Inc..

Where is East Bay Retina Consultants A Medical Group, Inc. located?

East Bay Retina Consultants A Medical Group, Inc. is located at 1401 Willow Pass Rd Suite 120, Concord, CA 94520. The listed phone number is (925) 680-1600.

What is East Bay Retina Consultants A Medical Group, Inc.'s specialty?

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

Does East Bay Retina Consultants A Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1071572) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Bay Retina Consultants A Medical Group, Inc. was last updated on February 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.