EAST BAY RETINA CONSULTANTS, INC.
NPI 1578509667
Ophthalmology in San Ramon, CA

NPI Status: Active since June 20, 2006

Contact Information

5401 NORRIS CANYON RD
SUITE 200
SAN RAMON, CA
ZIP 94583
Phone: (510) 444-1600
Fax: (510) 444-1828

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  • 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 San Ramon, California operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1578509667 assigned on June 2006. The practitioner's primary taxonomy code is 207W00000X. 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
1578509667
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
5401 NORRIS CANYON RD SUITE 200 SAN RAMON, CA 94583
Location Phone
(510) 444-1600
Location Fax
(510) 444-1828
Mailing Address
3300 TELEGRAPH AVE OAKLAND, CA 94609
Mailing Phone
(510) 444-1600
Mailing Fax
(510) 444-1828
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2006
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
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SOON T LEE M.D.

Authorized Official Title
CORPORATE VICE PRESIDENT
Authorized Official Phone
(510) 444-1600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZZ00342ZMEDICARE PIN (08)CA 

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 1578509667, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
7
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 5 → 10 → 1 9 → 18 → 9 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 4 + 8 + 1 + 0 + 0 + 1 + 8 + 6 + 1 + 2 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1578509667.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
5401 NORRIS CANYON RD, STE 210
SAN RAMON, CA 94583
Psychiatry & Neurology (Psychiatry)
5401 NORRIS CANYON RD, STE 314
SAN RAMON, CA 94583
Family Medicine
5401 NORRIS CANYON RD, SUITE 204
SAN RAMON, CA 94583
Family Medicine
5401 NORRIS CANYON RD, SUITE 204
SAN RAMON, CA 94583
Physician Assistant (Medical)
5401 NORRIS CANYON RD, SUITE 204
SAN RAMON, CA 94583
Clinic/Center (Sleep Disorder Diagnostic)
5401 NORRIS CANYON RD, SUITE 204
SAN RAMON, CA 94583
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
5401 NORRIS CANYON RD, SUITE 302
SAN RAMON, CA 94583
Pain Medicine (Interventional Pain Medicine)
5401 NORRIS CANYON RD, SUITE 102
SAN RAMON, CA 94583
Durable Medical Equipment & Medical Supplies
5401 NORRIS CANYON RD, STE 204
SAN RAMON, CA 94583
Clinic/Center
5401 NORRIS CANYON RD, SUITE 108
SAN RAMON, CA 94583
Nurse Practitioner (Family)
5401 NORRIS CANYON RD, 204
SAN RAMON, CA 94583
Obstetrics & Gynecology (Reproductive Endocrinology)
5401 NORRIS CANYON RD, SUITE 106
SAN RAMON, CA 94583
Internal Medicine (Gastroenterology)
5401 NORRIS CANYON RD, SUITE 208
SAN RAMON, CA 94583
Exclusive Provider Organization
5401 NORRIS CANYON RD, SUITE 302
SAN RAMON, CA 94583
Social Worker (Clinical)
5401 NORRIS CANYON RD, SUITE 314
SAN RAMON, CA 94583
Internal Medicine
5401 NORRIS CANYON RD, SUITE 308
SAN RAMON, CA 94583
Specialist
5401 NORRIS CANYON RD, SUITE 208
SAN RAMON, CA 94583
Internal Medicine (Pulmonary Disease)
5401 NORRIS CANYON RD, 308
SAN RAMON, CA 94583
Physical Medicine & Rehabilitation
5401 NORRIS CANYON RD, SUITE 102
SAN RAMON, CA 94583
Pediatrics
5401 NORRIS CANYON RD, SUITE 304 - TRI VALLEY PEDIATRICS
SAN RAMON, CA 94583

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578509667, enumerated as an "organization" on June 20, 2006.

The provider is located at 5401 NORRIS CANYON RD SUITE 200 SAN RAMON, CA 94583 and the phone number is (510) 444-1600.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.