CENTER FOR RETINAL AND MACULAR DISEASES, INC. (NPI# 1265661821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265661821 |
| Entity Type | Organization |
| Organization Name | CENTER FOR RETINAL AND MACULAR DISEASES, INC. |
| Other Organization Name | CENTER FOR RETINAL AND MACULAR DISEASES |
| Practice Address |
1440 Avocado Avenue Suite 204 Newport Beach CA 92660 |
| Mailing Address |
1441 Avocado Ave Suite 204 Newport Beach CA 92660-7721 |
| Practice Telephone | 9497211701 |
| Practice Fax Number | 9496121910 |
| Mailing Telephone | 9495003207 |
| Mailing Fax Number | 9496121910 |
| Enumeration Date | 2009-07-04 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | LEONID E. LERNER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9495003207 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A54458 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE PTAN | CT593A | 01 |
| CA | MEDICARE PTAN | CT593B | 01 |
| Other Name | Type Code |
|---|---|
| Center for Retinal and Macular Diseases | Doing Business As Name - Organization |
| Street Address |
1440 AVOCADO AVENUE SUITE 204 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386033884 | Gordon Fishman | Ophthalmology | 7 Ridgeline Drive, Newport Beach, CA 92660 | 2015-01-21 |
| 1700173655 | David Marshall Salvay | Ophthalmology | 1525 Superior Ave Ste 101, Newport Beach, CA 92663-3639 | 2011-06-29 |
| 1023309499 | Wenjing Liu | Ophthalmology | 360 San Miguel Dr Ste 410, Newport Beach, CA 92660-7853 | 2011-04-20 |
| 1215241245 | Lionel Braz Da Silva | Ophthalmology | 1800 Commodore Rd., Newport Beach, CA 92660 | 2010-08-02 |
| 1902031206 | Katerina Kurteeva Inc | Ophthalmology | 433 Vista Trucha, Newport Beach, CA 92660-3522 | 2009-05-15 |
| 1962681239 | Robert L Jones Md Inc | Ophthalmology | 1401 Avocado Street, Suite 505, Newport Beach, CA 92660-8722 | 2007-11-02 |
| 1083755060 | Lisa D. Garbutt | Ophthalmology | 400 Newport Center Dr Ste 404, Newport Beach, CA 92660 | 2007-02-10 |
| 1114090537 | Arlene Gwon | Ophthalmology | 8 Trafalgar, Newport Beach, CA 92660-6830 | 2006-11-15 |
| 1023103660 | Stephen B Prepas | Ophthalmology | 360 San Miguel, Suite 407, Newport Beach, CA 92660 | 2006-10-03 |
| 1417054610 | Arthur Astorino Jr Md, A Medical Corporation | Ophthalmology | 1525 Superior Ave #101, Newport Beach, CA 92663 | 2006-09-20 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
Please comment or provide details below to improve the information on CENTER FOR RETINAL AND MACULAR DISEASES, INC..
| 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.