Organization Active NPI

Infinity Retina LLC

  • Retina Specialist (Ophthalmology) Physician
  • Wayne, PA
National Provider Identifier
1033735261
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
INFINITY RETINA LLC
Practice address
724 Lancaster Ave Ste 210
Wayne, PA 19087-2558
Phone
(484) 232-9948
Fax
(215) 893-4888
NPI assigned
Jun 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
A'Sha Mable BrownNPI 1255674719
Title
Owner
Phone
(484) 232-9948

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

724 Lancaster Ave Ste 210
Wayne, PA 19087-2558

Mailing address

851 Duportail Rd Ste 200
Chesterbrook, PA 19087-5577
Phone (484) 232-9948

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.infinityretina.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200806000130 PA Part B Supplier - Clinic/Group Practice 4688099724 Receives reassigned benefits from 1 practitioner
Practice locations: Wayne, PA
O20240203000560 DE Part B Supplier - Clinic/Group Practice 4688099724 Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Locations

851 Duportail Rd
Ste 200
Chesterbrook, PA 19087

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1033735261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 DUPORTAIL RD STE 200",
            "city": "CHESTERBROOK",
            "state": "PA",
            "postal_code": "190875577",
            "telephone_number": "484-232-9948",
            "fax_number": "215-893-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 LANCASTER AVE STE 210",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872558",
            "telephone_number": "484-232-9948",
            "fax_number": "215-893-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY RETINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-23",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "A'SHA",
        "authorized_official_middle_name": "MABLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-232-9948"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.infinityretina.com",
            "affiliation": "N",
            "address_1": "724 Lancaster Ave Ste 210",
            "city": "Wayne",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190872558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wayne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.