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RETINA ASSOCIATES LLC NPI 1609818913


NPI Information

NPI: 1609818913
Provider Name: RETINA ASSOCIATES LLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 17D2023004

Address:
8600 QUIVIRA RD STE 100
LENEXA, KS
ZIP 66215
Phone: (913) 831-7400
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RETINA ASSOCIATES LLC is an ophthalmology in Lenexa, KS. The provider is 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 ASSOCIATES LLC NPI is 1609818913. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8600 QUIVIRA RD STE 100
LENEXA, KS
ZIP 66215-857
Phone: (913) 831-7400
Fax: (913) 831-7409

The provider's authorized official is Blake A Cooper .
The authorized official title is Owner and has the following contact phone number (913) 831-7400.

The CLIA number assigned to this NPI record is 17D2023004 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 8/17/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2207WX0107XOphthalmologyRetina SpecialistNo
3207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB2776OTHERKANSASRAILROAD MEDICARE
2100342190AMEDICAIDKANSAS
3CB2777OTHERMISSOURIRAILROAD MEDICARE
4110601OTHERKANSASBLUE CROSS BLUE SHIELD OF
525646013OTHERMISSOURIBLUE CROSS BLUE SHIELD OF
6505323600MEDICAIDMISSOURI

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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