Organization Active NPI

SK Retina LLC

  • Retina Specialist (Ophthalmology) Physician
  • Sarasota, FL
National Provider Identifier
1194170779
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
SK RETINA LLC
Practice address
1700 S Tuttle Ave
Sarasota, FL 34239-3110
Phone
(941) 777-5000
Fax
(941) 870-9002
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Mark Kiger
Title
Practice Administrator
Phone
(941) 777-5000

Specialties & licenses 1

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

Addresses

Primary practice location

1700 S Tuttle Ave
Sarasota, FL 34239-3110

Mailing address

1700 S Tuttle Ave
Sarasota, FL 34239-3110
Phone (941) 777-5000

Other practice location 1

426 Manatee Ave W
Bradenton, FL 34205-8845
Phone (941) 777-5000

Other practice location 2

111 San Marco Dr
Venice, FL 34285-3230
Phone (941) 777-5000

Other practice location 3

5601 21st Ave W Ste A
Bradenton, FL 34209-5642
Phone (941) 777-5000

Other practice location 4

3131 S Tamiami Trl Ste 201
Sarasota, FL 34239-5101
Phone (941) 777-5000

Other names 1

  • SK Retina Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161117002638 FL Part B Supplier - Clinic/Group Practice 0749569507 Receives reassigned benefits from 2 practitioners
Practice locations: Sarasota, FL; Venice, FL; Bradenton, FL

National Provider Directory

National Provider Directory

Locations

201 4th Ave E
Bradenton, FL 34208
Phone (941) 748-6099

1700 S Tuttle Ave
Sarasota, FL 34239
Phone (941) 777-5000

3131 S Tamiami Trl
Ste 201
Sarasota, FL 34239
Phone (941) 777-5000

111 San Marco Dr
Venice, FL 34285
Phone (941) 777-5000

Interoperability endpoints

  • Direct secure messaging: mchikovsky@skretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 6

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": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1194170779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393110",
            "telephone_number": "941-777-5000",
            "fax_number": "941-870-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TUTTLE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393110",
            "telephone_number": "941-777-5000",
            "fax_number": "941-870-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 Manatee Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342058845",
            "country_code": "US",
            "telephone_number": "941-777-5000",
            "fax_number": "941-870-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 San Marco Dr",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342853230",
            "country_code": "US",
            "telephone_number": "941-777-5000",
            "fax_number": "941-870-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 21st Ave W Ste A",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342095642",
            "country_code": "US",
            "telephone_number": "941-777-5000",
            "fax_number": "941-870-9002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 S Tamiami Trl Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342395101",
            "country_code": "US",
            "telephone_number": "941-777-5000",
            "fax_number": "941-870-9002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SK RETINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "KIGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "941-777-5000"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SK Retina",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SK Retina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.