RETINA ASSOCIATES PLLC NPI 1760408397

NPI Information

RETINA ASSOCIATES, PLLC is a retina specialist ophthalmology in Raleigh, NC. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA ASSOCIATES, PLLC NPI is 1760408397. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As North Carolina Retina Associates, Pc.

The provider's business location address is:

4414 LAKE BOONE TRL
STE 302
RALEIGH, NC
ZIP 27607-513
Phone: (919) 782-8038
Fax: (919) 782-8189

The provider's authorized official is Daniel K Bennett .
The authorized official title is Owner and has the following contact phone number (919) 782-8038.

The CLIA number assigned to this NPI record is 34D2295380 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 2/28/2022.

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:

Other Identifiers

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