RETINA ASSOCIATES OF MISSOURI, P.C. – NPI #1144204553
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

RETINA ASSOCIATES OF MISSOURI, P.C. is an ophthalmologist located in COLUMBIA, MO. NPPES has assigned the NPI number 1144204553 to RETINA ASSOCIATES OF MISSOURI, P.C. on November 30, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 6 years ago on Dec 03, 2020. 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 ASSOCIATES OF MISSOURI, P.C. below.

NPI Profile for
RETINA ASSOCIATES OF MISSOURI, P.C.

NPI Number
1144204553
Enumeration Date

(more than 20 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 ASSOCIATES OF MISSOURI, P.C.
Primary location
3600 AMRON CT
COLUMBIA, MO 65202-1918
Phone: (573) 874-1616 Fax: (573) 875-0300
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JERRY BLAIR
PRESIDENT
Phone: (573) 874-1616
Updated
Certification Date
Dec 03, 2020

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
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
MO MD108058

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.