RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
NPI 1720644081
Optometrist in San Pedro, CA

Active since May 13, 2019
1360 W 6TH ST STE 165, SAN PEDRO, CA 90732(800) 898-2020(949) 538-3938 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2021, May 13, 2019 (2 updates tracked since 2019).

About Retina Institute Of California Medical Group, A California Medical Par NPPES

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

RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR (NPI 1720644081) is a healthcare organization registered as an optometrist in San Pedro, California and active in the NPI registry since May 2019. The organization lists Tom S Chang, President, as its authorized official.

NPPES Registry Identity

NPI1720644081
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameRETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR
Location Address1360 W 6TH ST STE 165San Pedro, CA 90732-3540
Mailing Address100 E California BlvdPasadena, CA 91105-3205 · (800) 898-2020
Fax(949) 538-3938
Organization SubpartNo
Authorized OfficialTom S ChangPresident · (800) 898-2020
Enumeration DateMay 13, 2019
Last NPPES UpdateMarch 30, 20212 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1720644081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOphthalmologyTaxonomy 207W00000X
1360 W 6TH ST STE 165, San Pedro, CA 90732

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Optometrist
1360 W 6TH ST STE 165
SAN PEDRO, CA 90732
Optometrist
1360 W 6TH ST STE 165
SAN PEDRO, CA 90732
Clinic/Center
1360 W 6TH ST STE 165
SAN PEDRO, CA 90732

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 Retina Institute Of California Medical Group, A California Medical Par's NPI number?

The NPI number for Retina Institute Of California Medical Group, A California Medical Par is 1720644081. It was assigned to this organization in the NPPES registry on May 13, 2019.

Where is Retina Institute Of California Medical Group, A California Medical Par located?

Retina Institute Of California Medical Group, A California Medical Par is located at 1360 W 6th St Ste 165, San Pedro, CA 90732. The listed phone number is (800) 898-2020.

What is Retina Institute Of California Medical Group, A California Medical Par's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Retina Institute Of California Medical Group, A California Medical Par was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.