RETINA-VITREOUS ASSOCIATES MEDICAL GROUP PC – NPI #1134164023
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.

RETINA-VITREOUS ASSOCIATES MEDICAL GROUP PC is an ophthalmologist located in LOS ANGELES, CA. NPPES has assigned the NPI number 1134164023 to RETINA-VITREOUS ASSOCIATES MEDICAL GROUP PC on June 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was last updated on May 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RETINA-VITREOUS ASSOCIATES MEDICAL GROUP PC below.

NPI Profile for
RETINA-VITREOUS ASSOCIATES MEDICAL GROUP PC

NPI Number
1134164023
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RETINA-VITREOUS ASSOCIATES MEDICAL GROUP PC
Primary location
1245 WILSHIRE BLVD STE 380
LOS ANGELES, CA 90017-4886
Phone: (213) 483-8810 Fax: (213) 481-1503
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID BOYER
PARTNER
Phone: (213) 483-8810
Updated
Certification Date
May 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.