Personalized Retina Care of Naples

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

PERSONALIZED RETINA CARE OF NAPLES

Practice address

3467 Pine Ridge Rd Ste 103
Naples, FL 34109-3832

Phone

(239) 325-3960

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Katia E. Taba, MD

Title

Owner

Phone

(239) 325-3970

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1306379219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3467 PINE RIDGE RD",
            "address_2": "SUITE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093832",
            "telephone_number": "239-325-3970",
            "fax_number": "239-325-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3467 PINE RIDGE RD STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341093832",
            "telephone_number": "239-325-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED RETINA CARE OF NAPLES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "TABA",
        "authorized_official_first_name": "KATIA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-325-3970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Kathleen Perry, M.S ED CCC-SLP
• Susan T. Perry
• Michael Persichilli, RDN, LDN
• Personalized Nutrition Inc
• Personalized Physician Care, LLC
• Jairo Fernando Peruyera Manso
• Amber Pestian
• Peter James Norton MD PL
• Peter Tsambazis DMD, Inc
• Peter Tsambazis DMD, P.a.

• Retina Specialist (Ophthalmology) Physician in Naples, FL
• Providers in Naples, FL by specialty
• Retina Specialist (Ophthalmology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.