EAST BAY RETINA CONSULTANTS, INC.
NPI 1790965341
Ophthalmology in Oakland, 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 November 13, 2007

3300 TELEGRAPH AVE., OAKLAND, CA 94609(510) 444-1600(510) 444-5117 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 13, 2023, Dec 28, 2015, Dec 8, 2015 (3 updates tracked since 2015).

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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 1790965341) is a healthcare organization registered as an ophthalmology in Oakland, California and active in the NPI registry since November 2007. The organization maintains 5 additional practice locations and lists Soon T. Lee, Corporate Vice President, as its authorized official.

NPPES Registry Identity

NPI1790965341

Entity TypeOrganization

Primary Taxonomy207W00000X

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

Location Address3300 TELEGRAPH AVE.Oakland, CA 94609-3028

Mailing Address3300 Telegraph Ave.Oakland, CA 94609-3028 · (510) 444-1600 · Fax (510) 444-5117

Phone(510) 444-1600

Fax(510) 444-5117

Organization SubpartNo

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

Enumeration DateNovember 13, 2007

Last NPPES UpdateApril 13, 20233 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1790965341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · G57682

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.

3300 TELEGRAPH AVE., Oakland, CA 94609

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Other Names 1

Doing Business AsEast Bay Retina Consultants, Inc.

Secondary Practice Locations 5

Location 11860 Mowry Ave Ste 308Fremont, CA 94538-1730 · Phone (510) 796-6500 · Fax (510) 796-6557

Location 25924 Stoneridge Dr Ste 201Pleasanton, CA 94588-5400 · Phone (925) 224-8777 · Fax (925) 224-8779

Location 35401 Norris Canyon Rd Ste 200San Ramon, CA 94583-5406 · Phone (925) 867-9000 · Fax (925) 867-3779

Location 41401 Willow Pass Rd Ste 120Concord, CA 94520-7966 · Phone (925) 680-1600 · Fax (925) 680-1602

Location 527206 Calaroga Ave Ste 214Hayward, CA 94545-4300 · Phone (510) 880-2967 · Fax (510) 880-2634

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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 7 clinicians reassign Medicare billing to East Bay Retina Consultants, Inc., which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.