LEDER RETINA (NPI# 1609398916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609398916 |
| Entity Type | Organization |
| Organization Name | LEDER RETINA |
| Other Organization Name | LEDER RETINA & UVEITIS SPECIALIST |
| Practice Address |
13241 Bartram Park Blvd Unit 809 Jacksonville FL 32258-5216 |
| Mailing Address |
332 N Lombardy Loop Fruit Cove FL 32259-5266 |
| Practice Telephone | 9042019887 |
| Practice Fax Number | 9043256434 |
| Mailing Telephone | 2035207393 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2020-04-02 |
| Authorized Official Name | HENRY ALEXANDER LEDER (OWNER) |
| Authorized Official Telephone | 9042019887 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
D64669 | MD | Ambulatory Health Care Facilities |
| N | 207WX0108X |
Ophthalmology Specialization: Uveitis and Ocular Inflammatory Disease |
Allopathic & Osteopathic Physicians | ||
| N | 261Q00000X | Clinic/Center | D64669 | MD | Ambulatory Health Care Facilities |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 048036300 | 05 |
| Other Name | Type Code |
|---|---|
| Leder Retina & Uveitis Specialist | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 332 N Lombardy Loop, Fruit Cove, FL 322595266 | 2035207393 | |
| 360 E Pulaski Hwy Ste 1, Elkton, MD 219216457 | 4106203600 | 4106203838 |
| 2023 Pulaski Hwy, Havre De Grace, MD 210782137 | 4109396477 | 4109396555 |
| Street Address |
13241 BARTRAM PARK BLVD UNIT 809 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32258-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275563652 | Henry Alexander Leder | Ophthalmology | 13241 Bartram Park Blvd Unit 809, Jacksonville, FL 32258-5216 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794237 | Nicoleta Descalzo | Behavior Technician | 12724 Grand Bay Parkway West, Suite 410, Jacksonville, FL 32258 | 2019-11-15 |
| 1992275572 | William Lundgren | Nurse Anesthetist, Certified Registered | 3625 University Blvd South, Jacksonville, FL 32258 | 2018-11-27 |
| 1104301159 | Emergency Physicians Inc | Emergency Medicine | 14534 Old St Augustine Rd, Suite 3110, Jacksonville, FL 32258 | 2018-09-26 |
| 1679092886 | Palm Life Medical Associates Pa | Assisted Living Facility | 12494 Acosta Oaks Drive, Jacksonville, FL 32258 | 2017-09-19 |
| 1679013932 | Optometry Vision Care Pllc | Optometrist | 14866 Old St. Augustine Rd Unit 110, Jacksonville, FL 32258 | 2017-03-06 |
| 1467991950 | North Florida Vision Group Inc | Optometrist | 14866 Old St. Augustine Rd., Suite 110, Jacksonville, FL 32258 | 2017-02-16 |
| 1124576566 | Revolution Chiropractic LLC | Chiropractor | 14866 Old St Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-14 |
| 1396291936 | Robyn Reaves | Nurse Practitioner | 12361 Richards Glen Ct, Jacksonville, FL 32258 | 2016-09-01 |
| 1326595927 | Lauren Cost | Chiropractor | 14866 Old St. Augustine Road, Suite 113, Jacksonville, FL 32258 | 2016-09-01 |
| 1487991170 | Mark Steven Colosimo | Pharmacist | 13820 Old St Augustine Road, Jacksonville, FL 32258 | 2013-01-15 |
| Find all providers in zip 32258 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253791 | Miami Eye & Retina, Inc | Ophthalmology | 4305 N Jefferson Ave, Miami Beach, FL 33140-2933 | 2018-04-24 |
| 1831608496 | Comprehensive Retina Consultants Pllc | Ophthalmology | 1501 N Us Highway 441 Ste 1106, The Villages, FL 32159-6800 | 2017-09-27 |
| 1538441811 | Pautler Cohen Findlay and Eichenbaum Mds Pa | Ophthalmology | 12903 N 56th St, Temple Terrace, FL 33617-1225 | 2011-09-13 |
| 1497076335 | Elizabeth R Richter | Ophthalmology | 3920 Bee Ridge Rd Bldg D, Sarasota, FL 34233-1207 | 2010-06-15 |
| 1013234624 | Christopher Roy Stelton | Ophthalmology | 3400 S Tamiami Trl Ste 101, Sarasota, FL 34239 | 2010-04-23 |
| 1457389447 | Mandeep Singh Dhalla | Ophthalmology | 6333 N Federal Hwy Ste 300, Fort Lauderdale, FL 33308 | 2006-06-29 |
| 1336144575 | Karina Billiris Findlay | Ophthalmology | 2705 W Saint Isabel St, Tampa, FL 33607-6319 | 2005-06-15 |
| 1659998482 | Don Hershelson Noel | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2020-06-27 |
| 1457918625 | Gary Shienbaum Md Pa | Ophthalmology | 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 | 2019-05-23 |
| 1235625039 | South Florida Retina Institute, Pllc | Ophthalmology | 20900 Ne 30th Ave Ste 207, Aventura, FL 33180 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32258 |
Please comment or provide details below to improve the information on LEDER RETINA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.