RETINA ASSOCIATES MEDICAL GROUP, INC. (NPI# 1154338598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154338598 |
| Entity Type | Organization |
| Organization Name | RETINA ASSOCIATES MEDICAL GROUP, INC. |
| Other Organization Name | THE RETINA INSTITUTE |
| Practice Address |
436 South Glassell St Orange CA 92866 |
| Practice Telephone | 7146336060 |
| Practice Fax Number | 7146337470 |
| Mailing Telephone | 7146336060 |
| Mailing Fax Number | 7146337470 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. ROBERT F RUPER (CEO-OWNER) |
| Authorized Official Telephone | 7146336060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | ========= | CA | Suppliers |
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | CA | Suppliers |
| Other Name | Type Code |
|---|---|
| The Retina Institute | Doing Business As Name - Organization |
| Street Address |
436 SOUTH GLASSELL ST |
| City | ORANGE |
| State | CA |
| Zip Code | 92866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386277499 | Jessica Hsu, M.d.,inc | Dermatology | 1506 Chapman Avenue, Address Line 2, Orange, CA 92866 | 2020-02-17 |
| 1477114122 | Beverley P Brownell | Nurse Practitioner | 1215 E. Chapman Avenue, Orange, CA 92866 | 2019-06-24 |
| 1528539442 | Brian Chau | Pharmacist | 1538 E. Chapman Ave, Orange, CA 92866 | 2018-12-17 |
| 1891214599 | Nancy Lee Mcdonald | Registered Nurse | 700 Sout Tustin, Orange, CA 92866 | 2017-09-13 |
| 1962932541 | Hao Phu Nguyen | Counselor | 401 S. Tustin Street, Building D, Orange, CA 92866 | 2017-06-15 |
| 1932567377 | Lori Lynn Hughes | Psychologist | 734 E. Chapman Ave., Suite 734, Orange, CA 92866 | 2016-01-30 |
| 1417291360 | Lori Ann Bartczak | Speech-Language Pathologist | 393 S. Tustin St., Orange, CA 92866 | 2012-11-15 |
| 1497046064 | Pacific Shore Surgery Center | Clinic/Center | 302 W. Laveta Ave, Suite 100, Orange, CA 92866 | 2011-04-29 |
| 1871805127 | Spring Medley Peavy | Nurse Practitioner | 1040 E. Chapman Ave, Orange, CA 92866 | 2010-07-01 |
| 1790956084 | Kevin Robert Franks | Dentist | 532 E Chapman Ave, Orange, CA 92866 | 2008-03-14 |
| Find all providers in zip 92866 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760879399 | Clear Choice Optical Inc. | Eyewear Supplier (Equipment, not the service) | 392 S Glassell St Ste 101, Orange, CA 92866-1920 | 2015-04-21 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1487790333 | The Eye Place, Inc. | Eyewear Supplier (Equipment, not the service) | 1502 Strickland Dr Ste 2, Orange, TX 77630 | 2007-01-29 |
| 1326105354 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2100 N Tustin Ave, Mall of Orange, Orange, CA 92865-3702 | 2007-01-02 |
| 1013962711 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2300 N Tustin St, Orange, CA 92865-3706 | 2006-05-23 |
| 1962700039 | Kennedy & Perkins, Inc. | Eyewear Supplier (Equipment, not the service) | 93 Boston Post Rd, Orange, CT 06477-3203 | 2011-03-14 |
| 1912120791 | Dr. Heidi Doucet, P.l.l.c. | Eyewear Supplier (Equipment, not the service) | 3729 N 16th St, Orange, TX 77632-4630 | 2007-04-10 |
| 1104957430 | Eye Physicians & Surgeons, PC | Eyewear Supplier (Equipment, not the service) | 325 Boston Post Rd, Orange, CT 06477-3504 | 2007-03-08 |
| 1689728925 | Leonard Optician, Inc. | Eyewear Supplier (Equipment, not the service) | 119 New Athol Rd, Orange, MA 01364-9603 | 2007-01-23 |
| 1487750659 | Eye Physician & Surgeons, PC | Eyewear Supplier (Equipment, not the service) | 325 Boston Post Rd, Orange, CT 06477-3504 | 2006-09-15 |
| Find all providers in ORANGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.