ALLIANCE RETINA – NPI #1669811774
Ophthalmology

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

ALLIANCE RETINA is an ophthalmologist located in MAUMEE, OH. NPPES has assigned the NPI number 1669811774 to ALLIANCE RETINA on June 21, 2013. 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 Mar 25, 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 ALLIANCE RETINA below.

NPI Profile for
ALLIANCE RETINA

NPI Number
1669811774
Enumeration Date

(about 13 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
ALLIANCE RETINA
Primary location
5757 MONCLOVA RD STE 11
MAUMEE, OH 43537-1863
Phone: (419) 873-6800 Fax: (419) 873-6804
1 Other location(s):
28370 Kensington Lane
Suite A
Perrysburg, OH 43551
Phone: (419) 874-3125
Fax: (419) 874-8606
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN ROSENTHAL
PRESIDENT
Phone: (419) 873-6800
Updated
Certification Date
Mar 25, 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.

Identifiers

Identifiers for ALLIANCE RETINA

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
MEDICAIDOH0749300
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)

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.