Shane Retina, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME106610 Issued in FL

Legal business name

SHANE RETINA, P.A.

Practice address

2401 University Pkwy
Building 1, Suite 205
Sarasota, FL 34243-2893

Phone

(941) 351-1200

Fax

(941) 351-1201

NPI assigned

Jul 26, 2012

Last updated

Dec 6, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paige Skeie

Title

Practice Manager

Phone

(941) 351-1200

Specialties & licenses 1

Addresses

Other names 1

• Retina Care Consultants, PA Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: aetyem@retinacareflorida.intellechartdirect.net
• Direct secure messaging: ashane@retinacareflorida.intellechartdirect.net
• Direct secure messaging: gdibtaissoun@retinacareflorida.intellechartdirect.net

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria Castanos Toral, MD

  • Retina Specialist (Ophthalmology) Physician
  • Sarasota, FL
  • NPI 1912533803
  Medicare reassignment Care Compare group NPD
• Gabriel Dib Taissoun, FNP-C

  • Family Nurse Practitioner
  • Sarasota, FL
  • NPI 1871018630
  Medicare reassignment Care Compare group NPD
• Anita R Shane, M.D.

  • Ophthalmology Physician
  • Venice, FL
  • NPI 1992998207
  Medicare reassignment Care Compare group NPD
• Thomas Scott Shane, M.D.

  • Ophthalmology Physician
  • Sarasota, FL
  • NPI 1285826024
  Medicare reassignment Care Compare group NPD
• Konica Singla, MD

  • Retina Specialist (Ophthalmology) Physician
  • Sarasota, FL
  • NPI 1295495166
  Medicare reassignment Care Compare group NPD
• Ayah Toufick Etyem

  • Medical Physician Assistant
  • Sarasota, FL
  • NPI 1437737384
  Medicare reassignment Care Compare group
• Kayla Fischer, PA-C

  • Physician Assistant
  • Sarasota, FL
  • NPI 1982563185

  Ophthalmology

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1518213602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY STE 205",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432973",
            "telephone_number": "941-351-1200",
            "fax_number": "941-351-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 UNIVERSITY PKWY",
            "address_2": "BUILDING 1, SUITE 205",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342432893",
            "telephone_number": "941-351-1200",
            "fax_number": "941-351-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3906 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342313622",
            "country_code": "US",
            "telephone_number": "941-351-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 Venetia Bay Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342858049",
            "country_code": "US",
            "telephone_number": "941-202-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHANE RETINA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "SKEIE",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "941-351-1200"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME106610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Care Consultants, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Farhan Shairali
• Joseph John Shamp II, DC
• Sherry Lynn Shamp, DC
• Omar Shams
• Yana Shandaly, PHARMD
• Jessica Sydney Shane, APRN
• Thomas Scott Shane, M.D.
• Colleen Frances Shank, D.O., MPH
• Gina M Shank, LMT
• Mark Alan Shank, D.O.

• Ophthalmology Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.