The Retina Group, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THE RETINA GROUP, PLLC

Practice address

6262 E Broadway Rd
Ste 106
Mesa, AZ 85206-6101

Phone

(480) 898-3937

NPI assigned

Jan 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alyssa Kim

Title

PLLC Member

Phone

(480) 898-3937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1215083506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 E BROADWAY RD",
            "address_2": "STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 E BROADWAY RD",
            "address_2": "STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066101",
            "telephone_number": "480-898-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RETINA GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-27",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "PLLC MEMBER",
        "authorized_official_telephone_number": "480-898-3937",
        "authorized_official_name_prefix": "Dr."
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.