EAST BAY RETINA CONSULTANTS, INC.
NPI 1124319959
Ophthalmology in Concord, CA
NPI Status: Active since April 27, 2011
Contact Information
1401 WILLOW PASS RD
SUITE 120
CONCORD, CA
ZIP 94520
Phone: (925) 680-1600
Fax: (925) 680-1602
- Organization
- Ophthalmology
- CLIA Number: 05D1071572
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-26-2027
About EAST BAY RETINA CONSULTANTS, INC.
This page provides the complete NPI Profile along with additional information for East Bay Retina Consultants, Inc., a provider established in Concord, California operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1124319959 assigned on April 2011. The practitioner's primary taxonomy code is 207W00000X with license number A44312 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as East Bay Retina Consultants, Inc.. The authorized official of this NPI record is Soon T Lee M.d. (Corporate Vice President)
- NPI
- 1124319959
- Provider Legal Name
- EAST BAY RETINA CONSULTANTS A MEDICAL GROUP, INC.
- Other Organization Name
- EAST BAY RETINA CONSULTANTS, INC.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1401 WILLOW PASS RD SUITE 120 CONCORD, CA 94520
- Location Phone
- (925) 680-1600
- Location Fax
- (925) 680-1602
- Mailing Address
- 3300 TELEGRAPH AVE OAKLAND, CA 94609
- Mailing Phone
- (510) 444-1600
- Mailing Fax
- (925) 680-1602
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2011
- Last Update Date
- 02-29-2016
- Code Navigator
Ophthalmologists like East Bay Retina Consultants, Inc. specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A44312
- License State
- CA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1071572
- Facility Type
- Physician Office
- Certificate Effective Date
- July 27, 2025
- Certificate Expiration Date
- July 26, 2027
- Laboratory Director
- EUGENE S. LIT, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to East Bay Retina Consultants, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124319959, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
CONCORD, CA 94520
CONCORD, CA 94520
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124319959, enumerated as an "organization" on April 27, 2011.
The provider is located at 1401 WILLOW PASS RD SUITE 120 CONCORD, CA 94520 and the phone number is (925) 680-1600.
Ophthalmology with taxonomy code 207W00000X.
