GULF COAST RETINA ASSOCIATES, LLC – NPI #1780724112
Ophthalmology

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

Health Care Provider Taxonomy Code for Ophthalmology

GULF COAST RETINA ASSOCIATES, LLC is an ophthalmologist located in TRINITY, FL. NPPES has assigned the NPI number 1780724112 to GULF COAST RETINA ASSOCIATES, LLC on February 07, 2007. 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 8 years ago on Nov 02, 2018. 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 ASSOCIATES, LLC below.

NPI Profile for
GULF COAST RETINA ASSOCIATES, LLC

NPI Number
1780724112
Enumeration Date

(more than 19 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
GULF COAST RETINA ASSOCIATES, LLC
Primary location
2055 LITTLE RD
TRINITY, FL 34655
Phone: (727) 862-3090 Fax: (727) 862-3023
1 Other location(s):
10730 US Highway 19 Ste 7
Port Richey, FL 34668-2863
Phone: (727) 862-3090
Fax: (727) 862-3023
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DOUG DAVIS
OFFICE MANAGER
Phone: (727) 862-3090
Updated
Identifiers

Identifiers for GULF COAST RETINA ASSOCIATES, LLC

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
MEDICAIDFL379522500
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 ME68907

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.