Organization Active NPI

Retina Center PA

  • Ophthalmology Physician
  • Gainesville, FL
National Provider Identifier
1477537645
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA CENTER PA
Practice address
6400 W Newberry Rd
Suite 301
Gainesville, FL 32605-6605
Phone
(352) 333-5050
Fax
(352) 248-2228
NPI assigned
Dec 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Robert Neil Mames, MDNPI 1598747016
Title
Director President
Phone
(352) 333-5050

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X FL Primary

Addresses

Primary practice location

6400 W Newberry Rd
Suite 301
Gainesville, FL 32605-6605

Mailing address

6400 W Newberry Rd
Suite 301
Gainesville, FL 32605-6605
Phone (352) 333-5050

Other identifiers 1

IdentifierTypeStateIssuer
74579OtherFLBCBS

Other names 1

  • The Retina Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120531000609 FL Part B Supplier - Clinic/Group Practice 7618130675 Receives reassigned benefits from 2 practitioners
Practice locations: Gainesville, FL; Ocala, FL

National Provider Directory

National Provider Directory

Locations

6400 W Newberry Rd
Ste 301
Gainesville, FL 32605
Phone (352) 333-5050

6400 W Newberry Rd
Ste 302
Gainesville, FL 32605
Phone (352) 331-8902

3120 SW 27th Ave
Ste 100
Ocala, FL 34471

Interoperability endpoints

  • Direct secure messaging: mhines@mames.intellechartdirect.net
  • Direct secure messaging: rmames@mames.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 3

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": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477537645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056605",
            "telephone_number": "352-333-5050",
            "fax_number": "352-248-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W NEWBERRY RD",
            "address_2": "SUITE 301",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326056605",
            "telephone_number": "352-333-5050",
            "fax_number": "352-248-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "DIRECTOR PRESIDENT",
        "authorized_official_telephone_number": "352-333-5050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74579",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Retina Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.