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RETINA CENTER P A NPI 1922006246


NPI Information

NPI: 1922006246
Provider Name: RETINA CENTER P A
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
2806 E 29TH ST
BRYAN, TX
ZIP 77802
Phone: (979) 776-8330
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RETINA CENTER P A is an ophthalmology in Bryan, TX. 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 CENTER P A NPI is 1922006246. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2806 E 29TH ST
BRYAN, TX
ZIP 77802-601
Phone: (979) 776-8330
Fax: (979) 774-9157

The provider's authorized official is Derek Peter Kuhl .
The authorized official title is Owner and has the following contact phone number (979) 776-8330.

The enumeration date for this NPI number is 7/11/2005 and was last updated on 8/14/2012.


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
1207W00000XOphthalmologyL2390TEXASYes

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
1165691001MEDICAIDTEXAS
2DC0989OTHERTEXASMEDICARE RAILROAD
300965WMEDICARE PINTEXAS

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: 5/5/2024

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