Retina Consultants, LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA CONSULTANTS, LLC

Doing business as

The Retina Institute

Practice address

1600 S Brentwood Blvd Ste 700
Brentwood, MO 63144-1304

Phone

(314) 367-1181

Fax

(314) 968-5117

NPI assigned

Apr 4, 2011

Last updated

Oct 6, 2025By 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

Mrs. Stacy Deiss

Title

Credentialing Specialist

Phone

(314) 367-1181

Specialties & licenses 1

Addresses

Other names 1

• The Retina Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: bblackorby@rcstl.intellechartdirect.net
• Direct secure messaging: dpatel@rcstl.intellechartdirect.net
• Direct secure messaging: jwong@rcstl.intellechartdirect.net
• Direct secure messaging: lwei@rcstl.intellechartdirect.net
• Direct secure messaging: msiddiqui@rcstl.intellechartdirect.net
• Direct secure messaging: niafe@rcstl.intellechartdirect.net
• Direct secure messaging: ofromal@rcstl.intellechartdirect.net
• Direct secure messaging: pbomdica@rcstl.intellechartdirect.net
• Direct secure messaging: ppatel@rcstl.intellechartdirect.net
• Direct secure messaging: rrothman@rcstl.intellechartdirect.net
• Direct secure messaging: rwang@rcstl.intellechartdirect.net
• Direct secure messaging: skhanna@rcstl.intellechartdirect.net
• Direct secure messaging: wanderson@rcstl.intellechartdirect.net

Practitioners 46

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.

• William Jacob Anderson, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1598225880

  IL

  Medicare reassignment Care Compare group NPD
• Kevin J Blinder, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1669476560

  IL

  Medicare reassignment Care Compare group NPD
• Sabin Dang, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1740579531

  IL

  Medicare reassignment Care Compare group NPD
• Alia Durrani, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1841558822

  IL

  Medicare reassignment Care Compare group NPD
• Nicholas Engelbrecht, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1891791844

  IL

  Medicare reassignment Care Compare group NPD
• Ollya V. Fromal, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1396236220

  IL

  Medicare reassignment Care Compare group NPD
• Avinash Honasoge, MD, PHD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1962852889

  IL

  Medicare reassignment Care Compare group NPD
• Nicholas Anthony Iafe, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1942733811

  IL

  Medicare reassignment Care Compare group NPD
• Athanasios Papakostas, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1588975346

  IL

  Medicare reassignment Care Compare group NPD
• Dillan Patel, MD, MBA

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1477123198

  IL

  Medicare reassignment Care Compare group NPD
• Bradley Thomas Smith, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1588608970

  IL

  Medicare reassignment Care Compare group NPD
• Libby Wei, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brentwood, MO
  • NPI 1013581776

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1700175395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 LADUE RD STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242080",
            "telephone_number": "314-367-1181",
            "fax_number": "314-968-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S BRENTWOOD BLVD STE 700",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441304",
            "telephone_number": "314-367-1181",
            "fax_number": "314-968-5117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Hampshire St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013026",
            "country_code": "US",
            "telephone_number": "800-888-0011",
            "fax_number": "314-968-5117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "226 S Woods Mill Rd Ste 50W",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173664",
            "country_code": "US",
            "telephone_number": "314-367-1181",
            "fax_number": "314-968-5117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Country Club Executive Park",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620341702",
            "country_code": "US",
            "telephone_number": "800-888-0011",
            "fax_number": "314-968-5117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12106 Tesson Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631281729",
            "country_code": "US",
            "telephone_number": "314-367-1181",
            "fax_number": "314-968-5117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5770 Mexico Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633762264",
            "country_code": "US",
            "telephone_number": "314-367-1181",
            "fax_number": "314-968-5117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "903 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624012190",
            "country_code": "US",
            "telephone_number": "800-888-0011",
            "fax_number": "314-968-5117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 S 42nd St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "IL",
            "postal_code": "628646218",
            "country_code": "US",
            "telephone_number": "800-888-0011",
            "fax_number": "314-968-5117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "DEISS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "314-367-1181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Retina Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Retina Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Retina Specialist (Ophthalmology) Physician in Brentwood, MO
• Providers in Brentwood, MO by specialty
• Retina Specialist (Ophthalmology) Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.