# RETINA INSTITUTE OF CALIFORNIA MEDICAL GROUP, A CALIFORNIA MEDICAL PAR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Acuity Eye Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649798349
- **Authorized official:** TOM S CHANG MD (FOUNDER)
- **Authorized official phone:** (626) 568-8838

## Contact information

- **Practice address:** 5565 GROSSMONT CENTER DR STE 551, LA MESA, CA 91942-3078
- **Practice address phone:** (619) 465-2020
- **Practice address fax:** (619) 698-1189
- **Mailing address:** 100 E CALIFORNIA BLVD, PASADENA, CA 91105-3205
- **Mailing address phone:** (626) 568-8838
- **Mailing address fax:** (626) 574-7188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/01/2017
- **Last updated:** 09/09/2021