RETINA CONSULTANTS, LLC – NPI #1700175395
Ophthalmology

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

Health Care Provider Taxonomy Code for Ophthalmology

RETINA CONSULTANTS, LLC is an ophthalmologist located in BRENTWOOD, MO. NPPES has assigned the NPI number 1700175395 to RETINA CONSULTANTS, LLC on April 04, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 7 additional location(s) assigned to this provider which are listed below. 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 last updated on Oct 06, 2025. 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 CONSULTANTS, LLC below.

NPI Profile for
RETINA CONSULTANTS, LLC

NPI Number
1700175395
Enumeration Date

(more than 15 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 CONSULTANTS, LLC
Primary location
1600 S BRENTWOOD BLVD STE 700
BRENTWOOD, MO 63144-1304
Phone: (314) 367-1181 Fax: (314) 968-5117
7 Other location(s):
903 Medical Park Dr
Effingham, IL 62401-2190
Phone: (800) 888-0011
Fax: (314) 968-5117
5 Country Club Executive Park
Glen Carbon, IL 62034-1702
Phone: (800) 888-0011
Fax: (314) 968-5117
1009 S 42nd St Ste 3
Mount Vernon, IL 62864-6218
Phone: (800) 888-0011
Fax: (314) 968-5117
1125 Hampshire St
Quincy, IL 62301-3026
Phone: (800) 888-0011
Fax: (314) 968-5117
226 S Woods Mill Rd Ste 50W
Chesterfield, MO 63017-3664
Phone: (314) 367-1181
Fax: (314) 968-5117
12106 Tesson Ferry Rd
Saint Louis, MO 63128-1729
Phone: (314) 367-1181
Fax: (314) 968-5117
5770 Mexico Rd Ste D
Saint Peters, MO 63376-2264
Phone: (314) 367-1181
Fax: (314) 968-5117
Mailing address
8820 LADUE RD STE 203
SAINT LOUIS, MO 63124-2080
Phone: (314) 367-1181 Fax: (314) 968-5117
Organization Subpart
No
Authorized Official
STACY DEISS
CREDENTIALING SPECIALIST
Phone: (314) 367-1181
Updated
Certification Date
Oct 06, 2025

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)

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.