Retina Vitrous Consultants of West Florida PL

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA VITROUS CONSULTANTS OF WEST FLORIDA PL

Practice address

5347 Main St
Suite 102
New Port Richey, FL 34652-2506

Phone

(727) 845-1343

Fax

(727) 842-9523

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Debora A Kaplan

Title

Administrator

Phone

(727) 868-9442

Specialties & licenses 1

Addresses

Practitioners 1

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

• Marc Jeffrey Mallis, MD

  • Ophthalmology Physician
  • New Port Richey, FL
  • NPI 1811992050
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1144321571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5347 MAIN ST",
            "address_2": "SUITE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522506",
            "telephone_number": "727-845-1343",
            "fax_number": "727-842-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5347 MAIN ST",
            "address_2": "SUITE 102",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346522506",
            "telephone_number": "727-845-1343",
            "fax_number": "727-842-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA VITROUS CONSULTANTS OF WEST FLORIDA PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "KAPLAN",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "727-868-9442"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.