RETINA SURGERY CENTER – NPI #1912668260
Clinic/Center

RETINA SURGERY CENTER is an AHC clinic located in NILES, IL. NPPES has assigned the NPI number 1912668260 to RETINA SURGERY CENTER on January 07, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Aug 13, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RETINA SURGERY CENTER below.

NPI Profile for
RETINA SURGERY CENTER

NPI Number
1912668260
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RETINA SURGERY CENTER
Primary location
8780 W GOLF RD STE 102
NILES, IL 60714-5611
Phone: (847) 485-9990 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JACKIE BENACKA
ADMIN
Phone: (847) 297-8900
Updated
Certification Date
Aug 13, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.