TRILOGY EYE MEDICAL GROUP, INC. (NPI# 1366850471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366850471 |
| Entity Type | Organization |
| Organization Name | TRILOGY EYE MEDICAL GROUP, INC. |
| Other Organization Name | ACUITY EYE SPECIALISTS |
| Practice Address |
4413 La Jolla Village Dr Ste P-1 San Diego CA 92122-1264 |
| Mailing Address |
100 E California Blvd Pasadena CA 91105-3205 |
| Practice Telephone | 8583200075 |
| Practice Fax Number | 8583200053 |
| Mailing Telephone | (888) 884-3805 |
| Mailing Fax Number | 6265747188 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2017-09-26 |
| Authorized Official Name | TOM S CHANG (PRESIDENT) |
| Authorized Official Telephone | 6265688838 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | CA | Eye and Vision Services Providers | |
| N | 174400000X | Specialist | CA | Other Service Providers | |
| Y | 207W00000X | Ophthalmology | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1114205432 | 05 | |
| CA | MCR (S) | FQ161A | 01 |
| CA | MCR (N) | FQ161B | 01 |
| Other Name | Type Code |
|---|---|
| ACUITY EYE SPECIALISTS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821507435 | Trilogy Eye Medical Group, Inc. | Optometrist | 1620 Alpine Blvd Ste 117, Alpine, CA 91901-1103 | 2017-09-26 |
| 1578072187 | Trilogy Eye Medical Group, Inc. | Optometrist | 2240 E Plaza Blvd Ste F&g, National City, CA 91950-5164 | 2017-09-26 |
| 1164977336 | Trilogy Eye Medical Group, Inc. | Optometrist | 1801 E Tahquitz Canyon Way Ste 200, Palm Springs, CA 92262-7123 | 2016-08-17 |
| 1457744625 | Trilogy Eye Medical Group, Inc. | Optometrist | 5565 Grossmont Center Dr # 2-3, La Mesa, CA 91942-3020 | 2015-03-12 |
| 1851856793 | Trilogy Eye Medical Group, Inc. | Ophthalmology | 73180 El Paseo, Palm Desert, CA 92260-4218 | 2019-02-05 |
| 1568971174 | Trilogy Eye Medical Group, Inc. | Optometrist | 830 W Valley Pkwy, Escondido, CA 92025-2529 | 2017-09-26 |
| 1033628649 | Trilogy Eye Medical Group, Inc. | Optometrist | 450 Fletcher Pkwy Ste 112, El Cajon, CA 92020-2520 | 2017-09-26 |
| 1154862647 | Trilogy Eye Medical Group, Inc. | Specialist | 47474 Washington St, La Quinta, CA 92253-8846 | 2017-03-16 |
| 1831634815 | Trilogy Eye Medical Group, Inc. | Optometrist | 8616 La Tijera Blvd, Ste 102, Los Angeles, CA 90045-3944 | 2016-12-29 |
| 1316482862 | Trilogy Eye Medical Group, Inc. | Optometrist | 58471 29 Palms Hwy, # 203, Yucca Valley, CA 92284-5818 | 2016-12-19 |
| Street Address |
4413 LA JOLLA VILLAGE DR STE P-1 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92122-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912561630 | Neal Yacoo | Pharmacist | 9085 Judicial Drive #2137, San Diego, CA 92122 | 2019-04-29 |
| 1598242828 | Gena Rachel Katzer | Social Worker | 3246 Willard St, San Diego, CA 92122 | 2018-07-19 |
| 1164919791 | Janine Marie Battaglia | Nurse Practitioner | Scripps Health Express, 4350 La Jolla Villlage Drive Ste 130, San Diego, CA 92122 | 2018-04-19 |
| 1669991899 | Lindsay Y Ditmars | Pharmacist | 7545 Charmant Dr. #1322, 1322, San Diego, CA 92122 | 2017-09-19 |
| 1154747103 | Rebecca Jackson | Nurse Practitioner | 3655 Nobel Drive, Suite 660, Peak Health Solutions, San Diego, CA 92122 | 2014-03-14 |
| 1851726582 | Grace Lorelei Allen | Doula | 2728 Nansen Avenue, San Diego, CA 92122 | 2013-09-12 |
| 1427301894 | Barry Katzman, M.d., Inc., Apc | Optometrist | 4413 Lajolla Village Dr., Spc. P1, San Diego, CA 92122 | 2012-10-22 |
| 1912295361 | Yingjian Liang | Psychiatry & Neurology | Gillman Drive 9500, San Diego, CA 92122 | 2011-07-19 |
| 1467775486 | David Michael Trejo | Psychologist | 5080 Shoreham Place, Suite 103, San Diego, CA 92122 | 2010-03-04 |
| 1225369556 | Jeffrey J Abrams | Internal Medicine | 3395 Willard St, San Diego, CA 92122 | 2010-01-27 |
| Find all providers in zip 92122 | ||||
| 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 |
|---|---|---|---|---|
| 1700496320 | William Thomas Parker | Ophthalmology | 5279 Gaylord Pl, San Diego, CA 92117-1034 | 2020-08-07 |
| 1932763042 | Logan M. Haak, M.d., Inc. | Ophthalmology | 1855 1st Ave # 200b, San Diego, CA 92101-2685 | 2019-04-24 |
| 1871009001 | Glenn Paul Goltz | Ophthalmology | 4240 Arguello St, San Diego, CA 92103-1506 | 2017-12-26 |
| 1790232015 | Coastal Skin and Eye Institute, Inc. | Ophthalmology | 5550 Carmel Mountain Road, Suite 206, San Diego, CA 92130 | 2016-09-02 |
| 1811350549 | Nora El-khatib Md Inc. | Ophthalmology | 302 Washington St # 150-1676, San Diego, CA 92103-2110 | 2016-03-31 |
| 1225419583 | Andrew Cu-unjieng, M.d. | Ophthalmology | 4060 Fourth Ave Ste 405, San Diego, CA 92103-2121 | 2015-06-12 |
| 1215277272 | Joseph Hartman | Ophthalmology | 5006 Westminster Ter, San Diego, CA 92116-2103 | 2013-02-27 |
| 1477804284 | Michelle B. Crosby M.d., Ph.d. Incorporated | Ophthalmology | 5550 Carmel Mountain Rd Ste 206, San Diego, CA 92130-4861 | 2012-09-20 |
| 1467714311 | Eye Care Associates of San Diego Medical Group, Inc. | Ophthalmology | 4455 Morena Blvd, Suite 203, San Diego, CA 92117-4358 | 2012-06-15 |
| 1790041804 | Jessica Gomez | Ophthalmology | 7695 Cardinal Ct Ste 100, San Diego, CA 92123-3357 | 2012-04-03 |
| Find all providers in SAN DIEGO | ||||
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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.