Retina and Diabetic Eye Center, P. a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA AND DIABETIC EYE CENTER, P. A.

Practice address

1204 Maple St
Greensboro, NC 27405-6911

Phone

(336) 294-8258

Fax

(336) 292-4109

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Michele Rankin

Title

Manager

Phone

(336) 294-8258

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: grankin@rdec.intellechartdirect.net

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary A Rankin, MD

  • Ophthalmology Physician
  • Greensboro, NC
  • NPI 1538196209
  Medicare reassignment NPD

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1659052017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 MAPLE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056911",
            "telephone_number": "336-294-8258",
            "fax_number": "336-292-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 MAPLE ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056911",
            "telephone_number": "336-294-8258",
            "fax_number": "336-292-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA AND DIABETIC EYE CENTER, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "RANKIN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-294-8258"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Molly Louise Restrepo
• Deanna Cole Reyes, OT
• Evelyn Reyes
• Katherine Renee Reyes
• Selina Yanersik Reyes
• Sierra Reyes

• Ophthalmology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.