RETINA ASSOCIATES OF MISSOURI P.C. NPI 1144204553

NPI Information

NPI: 1144204553
Provider Name: RETINA ASSOCIATES OF MISSOURI, P.C.
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
3600 AMRON CT
COLUMBIA, MO
ZIP 65202
Phone: (573) 874-1616
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RETINA ASSOCIATES OF MISSOURI, P.C. is a retina specialist ophthalmology in Columbia, MO. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA ASSOCIATES OF MISSOURI, P.C. NPI is 1144204553. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3600 AMRON CT
COLUMBIA, MO
ZIP 65202-918
Phone: (573) 874-1616
Fax: (573) 875-0300

The provider's authorized official is Jerry R Blair .
The authorized official title is President and has the following contact phone number (573) 874-1616.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 12/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207WX0107X	Ophthalmology	Retina Specialist	MD108058	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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