Active NPI
Retina Treatment Center, P.L.
- Ophthalmology Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME64743
- Legal business name
- RETINA TREATMENT CENTER, P.L.
- Practice address
- 1911 Manatee Ave E
Ste 101
Bradenton, FL 34208-1562 - Phone
- (941) 870-2120
- Fax
- (941) 328-3595
- NPI assigned
- May 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Walter Moscoso, M.D.
- Title
- Managing Member
- Phone
- (941) 870-2120
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | ME64743 | FL | Primary |
Addresses
Primary practice location
1911 Manatee Ave E
Ste 101
Bradenton, FL 34208-1562
Mailing address
1911 Manatee Ave E
Ste 101
Bradenton, FL 34208-1562
Phone (941) 870-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Retina Treatment Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Sarasota, FL
- NPI 1427495514
Locations
1911 Manatee Ave E
Ste 101
Bradenton, FL 34208
Phone (941) 251-4930
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Zephyrhills, FL
- NPI 1992703854
-
- Ophthalmology Physician
- Brooksville, FL
- NPI 1063611739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470182400000",
"number": "1376989921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 MANATEE AVE E",
"address_2": "STE 101",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081562",
"telephone_number": "941-870-2120",
"fax_number": "941-328-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 MANATEE AVE E",
"address_2": "STE 101",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342081562",
"telephone_number": "941-870-2120",
"fax_number": "941-328-3595"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA TREATMENT CENTER, P.L.",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-21",
"last_updated": "2016-08-03",
"status": "A",
"authorized_official_last_name": "MOSCOSO",
"authorized_official_first_name": "WALTER",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "941-870-2120",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME64743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.