RETINA, LLC


Address: 5800 Colonial Dr, Suite 300, Margate, FL 33063-5682
Phone: 9549750044

RETINA, LLC (NPI# 1790141992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790141992
Entity Type Organization
Organization Name RETINA, LLC
Practice Address 5800 Colonial Dr
Suite 300
Margate
FL 33063-5682
Practice Telephone 9549750044
Mailing Telephone 9549750044
Enumeration Date 2016-01-05
Last Update Date 2016-01-05
Authorized Official Name RAM PEDDADA (OWNER)
Authorized Official Telephone 3077972666
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology ME 113019 FL Allopathic & Osteopathic Physicians

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities RETINA, LLC 2308 Fillmore Ave, Ames, IA 50010

Office Location

Street Address 5800 COLONIAL DR
SUITE 300
City MARGATE
State FL
Zip Code 33063-5682

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144223843 Erica Kleinstein Internal Medicine 5800 Colonial Dr, Ste 204, Margate, FL 33063-5674 2005-05-27
1386013225 21st Century Oncology LLC Urology 5800 Colonial Dr, Suite 404, Margate, FL 33063-5682 2015-09-22
1265782296 Russ Tannenbaum Dc Pa Chiropractor 5800 Colonial Dr, Ste 305, Margate, FL 33063-5682 2012-09-18
1427305150 Fernanda Mccosh Dentist 5800 Colonial Dr, Ste 406, Margate, FL 33063-5682 2012-08-13
1922301720 Louis R. Giusto, M.d., P.a. Family Medicine 5800 Colonial Dr, Suite 204, Margate, FL 33063-5682 2010-12-16
1942500145 Barbara E. Smith, M.d.,p.a. Internal Medicine 5800 Colonial Dr, Suite 104, Margate, FL 33063-5682 2010-10-22
1366751372 Ashok K. Kuruvilla, M.d.,pa Internal Medicine 5800 Colonial Dr, Suite 208, Margate, FL 33063-5682 2010-09-26
1669790390 Paul B Wizman Md, Pa Specialist 5800 Colonial Dr, Suite 108, Margate, FL 33063-5682 2010-05-05
1538481866 Jerome David Aronowitz Ophthalmology 5800 Colonial Dr, Suite 100, Margate, FL 33063-5682 2010-03-01
1780910844 North Broward Hospital District Internal Medicine 5800 Colonial Dr, Margate, FL 33063-5682 2009-10-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558978734 Ashley Bayliss Counselor Legacy Healing Center Margate, 2960 N State Road 7 Ste 102, Margate, FL 33063 2020-09-30
1366051872 Tasheen Fletcher Social Worker 4716 West Atlantic Blvd, Coconut Creek, FL 33063 2020-07-30
1437768116 Care for You Medical Center, LLC Clinic/Center 5412 West Atlantic Blvd, Margate, FL 33063 2020-07-28
1073130621 Freedom of Speech Therapy Center Clinic/Center 6344 Duval Drive, Margate, FL 33063 2020-06-30
1326683558 Timekia Miller Nurse Practitioner 6343 Harbor Bnd, Margate, FL 33063 2019-11-12
1487138236 Kavine Annita Taylor-dyke Nurse Practitioner 272 Nw 80th Terrace, Margate, FL 33063 2018-09-18
1750890513 Breath of Life Medical Center Inc Internal Medicine 5090 Coconut Creek Pkwy, Margate, FL 33063 2017-09-25
1881116796 Stephanie Lola Backer Nurse Practitioner 5825 Toscana Place, Apt 206, Margate, FL 33063 2017-07-12
1346761384 Kayan Oconnor Robinson Technician, Other 300 Lakewood Circle, Unit C, Margate, FL 33063 2017-06-29
1245610138 Shailee B Patel Dermatology 3275 N. State Road 7, Margate, FL 33063 2015-06-04
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy 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 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417136037 Jeffrey N Weiss Md.pa Ophthalmology 5800 Colonial Dr Ste 300, Margate, FL 33063-5674 2007-10-31
1063565448 G. Winston Stubbs Ophthalmology 550 Nw 79th Ave, Bldg 55 Apt 207, Margate, FL 33063-4134 2007-01-19
1104866953 Horizon Eye Care Pa Ophthalmology 9701 Ventor Avenue, Margate, NJ 08402 2006-06-08
1871551077 Lowell Jay Sherris Ophthalmology 7886 W Sample Rd, Margate, FL 33065-4710 2006-05-04
1417912452 Jeffrey N Weiss Ophthalmology 5800 Colonial Dr #300, Margate, FL 33063-5682 2006-04-20
1528035466 Raymond Gailitis Ophthalmology 5800 Colonial Drive, Suite #100, Margate, FL 33063-5682 2006-02-28
1932512910 Variety Children's Hospital Ophthalmology 7886 W Sample Rd, Margate, FL 33065-4710 2014-06-06
1538481866 Jerome David Aronowitz Ophthalmology 5800 Colonial Dr, Suite 100, Margate, FL 33063-5682 2010-03-01
1114199205 Ophthalmology Consultants Pa Ophthalmology 5800 Colonial Drive, Suite #100, Margate, FL 33063-5682 2008-03-28
1356318190 William R. Burks Ophthalmology 5800 Colonial Drive, Suite #100, Margate, FL 33063-5682 2006-03-01
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Competitor

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City MARGATE
Zip Code 33063

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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