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THE RETINA INSTITUTE LLC , NPI 1407858673

Ophthalmology in SAINT LOUIS, MO

Last Updated on : Jan 23,2009

About THE RETINA INSTITUTE LLC (NPI 1407858673)


THE RETINA INSTITUTE LLC is an Ophthalmology in SAINT LOUIS, United States

1407858673 is NPI number of THE RETINA INSTITUTE LLC.

THE RETINA INSTITUTE LLC's primary taxonomy code based on NPI Lookup is 207W00000X with license number N/A. This taxonomy code refers to Ophthalmology.

THE RETINA INSTITUTE LLC current practice location address is 1600 S BRENTWOOD BLVD, SAINT LOUIS, MO. THE RETINA INSTITUTE LLC can be reached out via phone at 314-367-1181 and via fax at 314-968-5117 .

You can also correspond with THE RETINA INSTITUTE LLC through mail at mailing address 4921 PARKVIEW PL, SAINT LOUIS, MO, United States. Mailing address contact number is 314-367-1181.

The enumeration date of THE RETINA INSTITUTE LLC is 01-Jun-2005. The provider is registered as an Organization and the NPI record was last updated 13 years ago.

The authorized official of THE RETINA INSTITUTE LLC is M GILBERT GRAND (MANAGER). M GILBERT GRAND can be reached at 3143671181.

1407858673 NPI Information

Name THE RETINA INSTITUTE LLC
National Provider Id (NPI) 1407858673
Entity Type Organization
Practice Address 1600 S BRENTWOOD BLVD, STE 800
SAINT LOUIS, MO, United States
Practice Telephone 314-367-1181
Practice Fax Number 314-968-5117
Mailing Address 4921 PARKVIEW PL , STE 12B
SAINT LOUIS, MO, United States
Mailing Telephone 314-367-1181
Mailing Fax Number 314-968-5117
Enumeration Date 01-Jun-2005
Last Updated Date 23-Jan-2009

THE RETINA INSTITUTE LLC (NPI 1407858673) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 207W00000X Ophthalmology N/A MO

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
000012214 MEDICARE PIN (08) MO
04121950 Other (non-Medicare) (01) IL BCBS
203328 MEDICARE PIN (08) IL
368370 MEDICARE PIN (08) IL
502111305 MEDICAID (05) MO
541 Other (non-Medicare) (01) MO BCBS

THE RETINA INSTITUTE LLC (NPI 1407858673) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1346356672 NEPHROLOGY CONCEPTS LLC Internal Medicine, Nephrology PO BOX 12441,
SAINT LOUIS, MD, United States
21-Aug-2006
1730236746 SCHNEPP INC. Skilled Nursing Facility 427 E WASHINGTON ST,
SAINT LOUIS, MI, United States
04-Jan-2007
1881015196 JANET LYNN FERGUSON Nursing Care 580 E HOFFMAN RD,
SAINT LOUIS, MI, United States
04-Jan-2014
1134692270 RIVERSIDE HEALTHCARE CENTER LLC Skilled Nursing Facility 1149 W MONROE RD,
SAINT LOUIS, MI, United States
10-Jan-2019
1437420999 THOMAS ALLEN JONES Physical Therapy Assistant 228 ROCKINGHAM AVE,
ALMA, MI, United States
15-Jan-2012
1497050454 ASPIRE RX LLC Pharmacy, Community/Retail Pharmacy 116 N MILL ST,
SAINT LOUIS, MI, United States
21-Jan-2011
1245386101 TIMOTHY DAVID STUDT Chiropractor 1883 W MONROE RD,
SAINT LOUIS, MI, United States
25-Jan-2007
1467639682 LUNDI ANN MCFARLAND Acupuncturist 250 E SAGINAW ST,
EAST LANSING, MI, United States
30-Jan-2008
1730645052 JUDY L CROCKETT Counselor, Professional PO BOX 75,
SAINT LOUIS, MI, United States
11-Feb-2019
1710511530 AMBER RACHELLE BROWN Occupational Therapist 1525 RIDGEWOOD DR,
MIDLAND, MI, United States
02-Mar-2020
1194793364 WILLIAM THOMAS WEAVER Rehabilitation Practitioner 200 W ESSEX DR,
SAINT LOUIS, MI, United States
14-Mar-2006
1205968732 NABEEL ALI MOHAMED Internal Medicine 760 RIVERWALK CIR APT 6B,
CORUNNA, MI, United States
11-Mar-2007
1992047963 MELISSA CAROL CHATELAIN Speech-Language Pathologist, 11025 E PICKARD RD,
MT PLEASANT, MI, United States
18-Mar-2013
1821118928 AARON ARNOLD MUNDERLOH Physical Therapist 129 DAVIS ST,
SAINT LOUIS, MI, United States
30-Mar-2007
1245970672 COURTNEY WINNIE Behavior Technician PO BOX 1224,
MT PLEASANT, MI, United States
01-Apr-2022
1366905440 RACHAEL OTTO Registered Nurse 118 EUCLID ST,
SAINT LOUIS, MI, United States
07-Apr-2019
1629369061 BRYAN MICHEAL GOETZ Physician Assistant 11716 N JEROME RD,
SAINT LOUIS, MI, United States
19-Apr-2011
1124293931 JOHN BONTRAGER Chiropractor, Nutrition 124 N MILL ST, SUITE A
SAINT LOUIS, MI, United States
23-Apr-2008
1336674225 CHERYL LAHTI Physical Therapy Assistant 427 E WASHINGTON ST,
SAINT LOUIS, MI, United States
27-Apr-2017
1083102651 KRISTA MARIE HAGARTY Occupational Therapist 315 FIELDSTONE DR,
HEMLOCK, MI, United States
28-Apr-2018

FAQs

Whose NPI Number is 1407858673?

1407858673 is the NPI number of THE RETINA INSTITUTE LLC.

Where is THE RETINA INSTITUTE LLC located?

THE RETINA INSTITUTE LLC is located at 1600 S BRENTWOOD BLVD, SAINT LOUIS, MO.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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