Organization · NPI-2

California Retina Consultants

Ophthalmology, Retina Specialist · Santa Maria, CA

NPI number1265575591

StatusActive

Last updated in NPPESJul 21, 2022

Details

NPI: 1265575591
Entity type: Organization (NPI-2)
Legal business name: California Retina Consultants
Organization subpart: No
Enumeration date: Feb 15, 2007
Certification date: Jul 21, 2022
Last updated: Jul 21, 2022

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207WX0107X	Ophthalmology, Retina Specialist	–	–	Yes
174400000X	Specialist	–	–

Practice location

1510 E Main St
Suite 103
Santa Maria, CA 93454-4825

Phone 805-922-2068 · Fax 805-880-5915

Mailing address

525 E Micheltorena St
Suite A
Santa Barbara, CA 93103-2254

Phone 805-963-1648

Authorized official

Robert L Avery
Ceo
8059631648

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