Retina Institute Of California Medical Group, A California Medical Par
Ophthalmology in Bakersfield, CA. Organization (NPI-2).
NPI number1457744534
StatusActive
Last updated in NPPESApr 1, 2022
Details
- NPI
- 1457744534
- Entity type
- Organization (NPI-2)
- Legal business name
- Retina Institute Of California Medical Group, A California Medical Par
- Organization subpart
- No
- Enumeration date
- Mar 12, 2015
- Certification date
- Apr 1, 2022
- Last updated
- Apr 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 152W00000X | Optometrist | A69909 | CA | |
| 174400000X | Specialist | A69909 | CA |
Other names
- Acuity Eye Group (Doing Business As)
Practice location
9500 Stockdale HwySte. 108
Bakersfield, CA 93311-3620
Phone 661-663-8500 · Fax 661-663-8688
Mailing address
100 E California BlvdPasadena, CA 91105-3205
Phone 626-568-8838 · Fax 626-574-7188
Authorized official
Tom S Chang
Ceo
6265688838
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