National Retina Institute

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

NATIONAL RETINA INSTITUTE

Practice address

66 Enterprise Blvd
Allenwood, PA 17810-9260

Phone

(800) 311-8339

NPI assigned

Feb 14, 2018

Organization subpart

No

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

Authorized official

Name

Shelley Rine

Title

Billing Administrator

Phone

(570) 850-0840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518566400000",
    "number": "1215437439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HARDEES DR",
            "city": "MIFFLINBURG",
            "state": "PA",
            "postal_code": "178447062",
            "telephone_number": "570-850-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 ENTERPRISE BLVD",
            "city": "ALLENWOOD",
            "state": "PA",
            "postal_code": "178109260",
            "telephone_number": "800-311-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL RETINA INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A",
        "authorized_official_last_name": "RINE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "570-850-0840"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Harrison, CRNP, PMHNP-BC
• Darcie Anne Hostetler, CRFNP
• David A Lightman, MD
• Zell Y Moyer, CRNA
• Shannon Frances Murphy, PHD
• Michaeleen Powanda
• Jensyn L. Seely, CRNP
• Temmy Sheatler, COTA/L
• Dana Sims
• Amanda Trimble, MS, LPC, NCC, CAADC

• Ophthalmology Physician in Allenwood, PA
• Providers in Allenwood, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; 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.