VENICE RETINA, P.A. (NPI# 1770144727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770144727 |
| Entity Type | Organization |
| Organization Name | VENICE RETINA, P.A. |
| Practice Address |
871 Venetia Bay Blvd Ste 115 Venice FL 34285-8047 |
| Mailing Address |
871 Venetia Bay Blvd Ste 115 Venice FL 34285-8049 |
| Practice Telephone | 9412021900 |
| Practice Fax Number | 9417863358 |
| Mailing Telephone | 9412021900 |
| Mailing Fax Number | 9417863358 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2020-04-17 |
| Authorized Official Name | ANITA R SHANE (PRESIDENT) |
| Authorized Official Telephone | 9412021900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
871 VENETIA BAY BLVD STE 115 |
| City | VENICE |
| State | FL |
| Zip Code | 34285-8047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992998207 | Anita R Shane | Ophthalmology | 871 Venetia Bay Blvd Ste 115, Venice, FL 34285-8049 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467712224 | Steven E Kane | Ophthalmology | 4140 Woodmere Park Blvd Ste 3, Venice, FL 34293-2205 | 2012-05-25 |
| 1700175627 | Donald A Mceachern Md Pa | Ophthalmology | 1511 Tamiami Trl S Ste 201, Venice, FL 34285-5578 | 2011-03-31 |
| 1649401993 | Scott Albert Dunn | Ophthalmology | 630 Milwood Ave, Venice, CA 90291-3876 | 2009-08-04 |
| 1992998207 | Anita R Shane | Ophthalmology | 871 Venetia Bay Blvd Ste 115, Venice, FL 34285-8049 | 2007-08-20 |
| 1013050590 | Amy B Halikman | Ophthalmology | 2554 Lincoln Blvd, Apartment # 418, Venice, CA 90291-5043 | 2007-02-15 |
| 1457442667 | Richard D Paolillo | Ophthalmology | 250 Tamiami Trl S Ste 103, Venice, FL 34285-2421 | 2006-09-27 |
| 1629030655 | Trenity Shane Mckinney | Ophthalmology | 1868 Tamiami Trl S, Venice, FL 34293-3160 | 2006-04-05 |
| 1114988045 | P Dee G Stephenson | Ophthalmology | 200 Palermo Pl, Venice, FL 34285-2820 | 2006-03-30 |
| 1205803418 | Mark Anthony Johnson | Ophthalmology | 811 Ridgewood Avenue, Venice, FL 34285 | 2006-03-07 |
| 1730152752 | Mark Johnson Md Pa | Ophthalmology | 811 Ridgewood Ave, Venice, FL 34285 | 2006-02-09 |
| Find all providers in VENICE | ||||
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| 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.