East Bay Retina Consultants A Medical Group, Inc.
NPI 1790965341ActiveOrganization· Ophthalmology· Oakland, CA
Ophthalmology in Oakland, California, registered in NPPES in November 2007. The authorized official on file is Soon T. Lee, M.D., Corporate Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790965341 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 13, 2007 |
| Last updated in NPPES | Apr 13, 2023 |
| Certified by provider | Apr 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | G57682 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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