RETINA VITREOUS CONSULTANTS NPI 1699773796

NPI Information

  • NPI: 1699773796
  • Provider Name: RETINA VITREOUS CONSULTANTS
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Organization
  • Doing Business As: RETINA GROUP OF FLORIDA
  • CLIA Number: 10D1069186
  • Address: 6333 N FEDERAL HWY
    SUITE 300
    FT LAUDERDALE, FL
    ZIP 33308
  • Phone: (954) 776-6880

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NPI Details

RETINA VITREOUS CONSULTANTS is a retina specialist ophthalmology in Ft Lauderdale, FL. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA VITREOUS CONSULTANTS NPI is 1699773796. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Retina Group Of Florida.

The provider's business location address is:

6333 N FEDERAL HWY
SUITE 300
FT LAUDERDALE, FL
ZIP 33308-907
Phone: (954) 776-6880
Fax: (954) 229-3100

The provider's authorized official is Barry Taney .
The authorized official title is Partner and has the following contact phone number (954) 776-6880.

The CLIA number assigned to this NPI record is 10D1069186 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 8/16/2024.

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
1207W00000XOphthalmologyFLORIDANo
2207WX0107XOphthalmologyRetina SpecialistYes
3207WX0108XOphthalmologyUveitis and Ocular Inflammatory DiseaseNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114738400MEDICAIDFLORIDA
2114738416MEDICAIDFLORIDA
3116137110MEDICAIDFLORIDA
4114738406MEDICAIDFLORIDA
5114738414MEDICAIDFLORIDA
6114738401MEDICAIDFLORIDA
7114738402MEDICAIDFLORIDA
8114738409MEDICAIDFLORIDA
9114738413MEDICAIDFLORIDA
10114738417MEDICAIDFLORIDA
11114738418MEDICAIDFLORIDA
12116137105MEDICAIDFLORIDA
13116137108MEDICAIDFLORIDA
14114738403MEDICAIDFLORIDA
15114738404MEDICAIDFLORIDA
16114738411MEDICAIDFLORIDA
17114738412MEDICAIDFLORIDA
18116137111MEDICAIDFLORIDA
19116137119MEDICAIDFLORIDA
20114738419MEDICAIDFLORIDA
21114738408MEDICAIDFLORIDA
22114738407MEDICAIDFLORIDA
23114738410MEDICAIDFLORIDA
24114738415MEDICAIDFLORIDA
25116137101MEDICAIDFLORIDA

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: 3/30/2025

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