Retina Associates Pa in Jacksonville - Ophthalmology
Retina Associates Pa - NPI 1619958352
Retina Associates Pa is a Ophthalmology in Jacksonville, Florida. Retina Associates Pa practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Retina Associates Pa is 1619958352. The last update date is 2011-06-13.
Retina Associates Pa's current location address is 2 Shircliff Way, Jacksonville, Florida. You can contact this provider via phone number 9043888446 and fax number 9043846261. The mailing address for Retina Associates Pa is 2 Shircliff Way, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Retina Associates Pa |
|---|---|
| Address | 2 Shircliff Way, Jacksonville, Florida |
| Phone Number | 9043888446 |
| Fax Number | 9043846261 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lambrou H Fred |
| Credentials | M D |
| Telephone Number | 9043888446 |
NPI Number Detail
| NPI Number | 1619958352 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2011-06-13 |
Provider Mailing Address Detail
| Address | 2 Shircliff Way |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322044753 |
| Phone Number | 9043888446 |
| Fax Number | 9043846261 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | ME0053221 |
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Definition: 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 incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00394479A | GA | MEDICAID | |
| 48036300 | FL | -- | |
| 180005784 | RAILROAD MEDICARE | ||
| 5860 | FL | BLUE CROSS/BLUE SHIELD | |
| C12098 | RAILROAD MEDICARE | ||
| 18BDCCP | GA | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Retina Associates Pa by the Centers for Medicare & Medicaid Services?
The Retina Associates Pa has been assigned the NPI (National Provider Identifier) 1619958352 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Retina Associates Pa?
The Retina Associates Pa is situated at 2 Shircliff Way, in the city of Jacksonville, state of FL, with the zip code 322044753.
What is Retina Associates Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Retina Associates Pa is Ophthalmology, and the taxonomy classification code that categorizes this area of expertise is 207W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619958352 to Retina Associates Pa?
The Centers for Medicare & Medicaid Services originally issued the 1619958352 to Retina Associates Pa on 2005-11-09.
As of what date were the details related to Retina Associates Pa most recently updated or revised?
The information pertaining to Retina Associates Pa, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-13.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY