East Bay Retina Consultants a Medical Group, Inc.
NPI 1790965341 · Ophthalmology Physician · Oakland, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
East Bay Retina Consultants a Medical Group, Inc. is a Ophthalmology Physician organization in Oakland, CA (NPI 1790965341).
Provider details
- NPI number
- 1790965341
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Soon Lee, Corporate Vice President(510) 444-1600
- License
- G57682 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- East Bay Retina Consultants, Inc.
- Doing business as
- East Bay Retina Consultants, Inc.
Additional practice locations (5)
- 1401 Willow Pass Rd Ste 120Concord, CA 94520-7966Phone: (925) 680-1600Fax: (925) 680-1602
- 1860 Mowry Ave Ste 308Fremont, CA 94538-1730Phone: (510) 796-6500Fax: (510) 796-6557
- 27206 Calaroga Ave Ste 214Hayward, CA 94545-4300Phone: (510) 880-2967Fax: (510) 880-2634
- 5924 Stoneridge Dr Ste 201Pleasanton, CA 94588-5400Phone: (925) 224-8777Fax: (925) 224-8779
- 5401 Norris Canyon Rd Ste 200San Ramon, CA 94583-5406Phone: (925) 867-9000Fax: (925) 867-3779
Registry dates
- Enumerated
- 2007-11-13
- Last updated
- 2023-04-13
- Certified
- 2023-04-13
Frequently asked questions
- What is East Bay Retina Consultants a Medical Group, Inc.'s NPI number?
- East Bay Retina Consultants a Medical Group, Inc.'s National Provider Identifier (NPI) is 1790965341, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Bay Retina Consultants a Medical Group, Inc.?
- East Bay Retina Consultants a Medical Group, Inc. is classified in the NPPES registry as Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is East Bay Retina Consultants a Medical Group, Inc. located?
- East Bay Retina Consultants a Medical Group, Inc.'s practice location on file with NPPES is 3300 Telegraph Ave., Oakland, CA 94609-3028.
- What is East Bay Retina Consultants a Medical Group, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for East Bay Retina Consultants a Medical Group, Inc. is (510) 444-1600.
- Does East Bay Retina Consultants a Medical Group, Inc. accept Medicare?
- East Bay Retina Consultants a Medical Group, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for East Bay Retina Consultants a Medical Group, Inc.?
- The authorized official listed on East Bay Retina Consultants a Medical Group, Inc.'s NPPES record is Soon Lee, Corporate Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Bay Retina Consultants a Medical Group, Inc.'s NPI active?
- Yes — East Bay Retina Consultants a Medical Group, Inc.'s NPI (1790965341) is active in the NPPES registry as of the last update on 2023-04-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.