GULF COAST RETINA CENTER – NPI #1518212760
Ophthalmology

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

GULF COAST RETINA CENTER is an ophthalmologist located in SARASOTA, FL. NPPES has assigned the NPI number 1518212760 to GULF COAST RETINA CENTER on July 13, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GULF COAST RETINA CENTER” is a dba name, the actual legal business name for this organization is TAMPA BAY RETINA, PA. 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 4 years ago on Jul 14, 2022. 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 GULF COAST RETINA CENTER below.

NPI Profile for
TAMPA BAY RETINA, PA

NPI Number
1518212760
Enumeration Date

(about 14 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
TAMPA BAY RETINA, PA
Doing Business As (dba): GULF COAST RETINA CENTER
Primary location
1961 FLOYD ST
SUITE B
SARASOTA, FL 34239
Phone: (941) 312-2769 Fax: (941) 759-6476
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OREN PLOUS
PRESIDENT
Phone: (248) 790-5111
Updated
Certification Date
Jul 14, 2022

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.

Identifiers

Identifiers for GULF COAST RETINA CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF FLORIDAFL91135
OTHERPALMETTO GBA-RAILROAD MEDICAREFLP01531788
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)
FL ME97145

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.