RETINA LABS (USA), INC.


Address: 165 Broadway - One Liberty Plaza, Suite 2301, New York City, NY 10006
Phone: 8663442692

RETINA LABS (USA), INC. (NPI# 1720620313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720620313
Entity Type Organization
Organization Name RETINA LABS (USA), INC.
Practice Address 165 Broadway - One Liberty Plaza
Suite 2301
New York City
NY 10006
Practice Telephone 8663442692
Practice Fax Number 8662140724
Mailing Telephone 8663442692
Mailing Fax Number 8662140724
Enumeration Date 2019-10-15
Last Update Date 2019-10-15
Authorized Official Name MR. RICHARD M. PRIDHAM (PRESIDENT)
Authorized Official Telephone 8663442692
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 156F00000X Technician/Technologist Eye and Vision Services Providers
Y 207WX0107X Ophthalmology
Specialization: Retina Specialist
Allopathic & Osteopathic Physicians

Office Location

Street Address 165 BROADWAY - ONE LIBERTY PLAZA
SUITE 2301
City NEW YORK CITY
State NY
Zip Code 10006

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NPI Name Taxonomy Address Enumeration
1437626140 Conscientiamd PC Psychiatry & Neurology 115 Broadway Suite 1800 (room 25), New York, NY 10006 2018-10-31
1720563232 Harveen Kaur Physical Therapist 65 Broadway, Ste. 603, New York, NY 10006 2018-10-01
1871032367 Joanne Herskovits Speech-Language Pathologist 90 Trinity Place, Leadership and Public Service High School, New York, NY 10006 2017-02-16
1457801318 Lifetime Physical Therapy Clinic/Center 2 Rector St # 1301, Lifetime Physical Therapy, New York, NY 10006 2016-10-04
1649647959 Progyny, Inc. Exclusive Provider Organization 1 Liberty Plaza, 47th Floor, New York, NY 10006 2015-08-24
1801207022 Jane Arkinstall Social Worker 39 Broadway Suite 200, Mjhs, New York, NY 10006 2014-05-09
1487077665 Jacob Perlow Hospice Medicare Defined Swing Bed Unit 39 Broadway, Suite 200, Ny, NY 10006 2014-01-24
1003249301 Calvin C. Krom IIi Emergency Medicine 39 Broadway Fl 3, New York, NY 10006 2013-08-10
1740535103 Carol Lynn Say Tan Physical Therapist 61 Broadway Suite 2824, New York, NY 10006 2012-07-20
1992091052 Damani Colin Taylor Pediatrics 39 Broadway Rm 200, New York, NY 10006 2011-06-27
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Taxonomy Information

Taxonomy Code 207WX0107X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Retina Specialist

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114561859 Rad Bintareef Ophthalmology 658 Malta Ave Ste 101, Malta, NY 12020-4105 2019-11-06
1194213231 Louis S. Angioletti Md PC Ophthalmology 55 5th St Suite 1801, New York, NY 10003 2018-04-24
1639436462 Dov B Sebrow Ophthalmology 450 Gidney Ave Ste 201, Newburgh, NY 12550-3153 2012-04-18
1205129962 Gregory Eli Stein Ophthalmology 40 W 72nd St Ste A, New York, NY 10023-4195 2011-05-26
1134224702 Howard Jay Kaplan Ophthalmology 94 Pine St, Poughkeepsie, NY 12601-3942 2006-09-14
1679505374 Peter E Weseley Ophthalmology 310 E 14th St # 419, New York, NY 10003-4201 2006-07-06
1790746220 Samer Farah Ophthalmology 3250 Westchester Ave, Suite 203a, Bronx, NY 10461-4500 2006-04-02
1124012737 Retina-vitreous Surgeons of Central New York, PC Ophthalmology 200 Greenfield Pkwy, Liverpool, NY 13088-6655 2005-09-09
1760481030 Louis S Angioletti Ophthalmology 55 5th Ave Ste 1801, New York, NY 10003-4301 2005-07-19
1356963755 Brandon B Johnson Md PC Ophthalmology 161 E 32nd St, New York, NY 10016-6002 2020-05-08
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Competitor

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City NEW YORK CITY
Zip Code 10006

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Dataset Information

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.

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