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RETINA CONSULTANTS SAN DIEGO INC
NPI 1790736098
Ophthalmology in Poway, CA

Active since May 12, 2006
12630 MONTE VISTA RD, SUITE 104, POWAY, CA 92064(858) 451-1911(858) 451-0566 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Retina Consultants San Diego Inc NPPES

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

RETINA CONSULTANTS SAN DIEGO INC (NPI 1790736098) is a healthcare organization registered as an ophthalmology in Poway, California and active in the NPI registry since May 2006. The organization lists Jocelin Ing, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1790736098
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA CONSULTANTS SAN DIEGO INC
Location Address12630 MONTE VISTA RD, SUITE 104Poway, CA 92064-2526
Mailing Address12630 Monte Vista Rd, Suite 104Poway, CA 92064-2526 · (858) 451-1911 · Fax (858) 451-0566
Phone(858) 451-1911
Fax(858) 451-0566
Organization SubpartNo
Authorized OfficialJocelin IngPractice Administrator · (858) 500-7815
Enumeration DateMay 12, 2006
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
✔ NPI 1790736098 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.
12630 MONTE VISTA RD, Poway, CA 92064
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Other Names 1

Doing Business AsRetina Consultants San Diego Inc

Other Identifiers 3

OtherDA1466CA · Medicare Railroad
MedicaidGR0045281CA
OtherZZZ30299ZCA · Blue Shield

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Retina Consultants San Diego Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Retina Consultants San Diego Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Michael Ammar, MD
Ophthalmology
NPI 1982099115
12630 MONTE VISTA RD STE 104
Poway, CA 92064
(858) 451-1911
✔ PECOS✔ Accepts MedicareSame address
Lon Poliner, M.D.
Ophthalmology
NPI 1720038458
12630 MONTE VISTA RD SUITE #104
Poway, CA 92064
(858) 451-1911
✔ PECOSSame address
Nikolas London, M.D.
Ophthalmology
NPI 1730418849
12475 CAMARERO CT
San Diego, CA 92130
(415) 341-5456
✔ PECOS✔ Accepts Medicare10 mi
Anne Hanneken, MD
Ophthalmology
NPI 1699876011
9850 GENESEE AVE STE 700
La Jolla, CA 92037
(858) 558-9666
✔ PECOS✔ Accepts Medicare12 mi
Atul Jain, M.D.
Ophthalmology
NPI 1194905711
7695 CARDINAL COURT SUITE 100
San Diego, CA 92123
(858) 609-7100
✔ PECOS✔ Accepts Medicare15 mi
Thomas Lazzarini, MD
Ophthalmology
NPI 1477088979
3965 FIFTH AVE STE 330
San Diego, CA 92103
(858) 451-1911
✔ PECOS✔ Accepts Medicare18 mi

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

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 Consultants San Diego Inc's NPI number?

The NPI number for Retina Consultants San Diego Inc is 1790736098. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Retina Consultants San Diego Inc located?

Retina Consultants San Diego Inc is located at 12630 Monte Vista Rd Suite 104, Poway, CA 92064. The listed phone number is (858) 451-1911.

What is Retina Consultants San Diego Inc's specialty?

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

Is Retina Consultants San Diego Inc enrolled in Medicare?

Yes. Retina Consultants San Diego Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Consultants San Diego Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina Consultants San Diego Inc. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Retina Consultants San Diego Inc was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.