Retina Labs USA, Inc.

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA LABS USA, INC.

Practice address

555 Marriott Dr Ste 315
Nashville, TN 37214-5088

Phone

(866) 344-2692

Fax

(866) 214-0724

NPI assigned

Oct 15, 2019

Last updated

Jul 28, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

RETINA LABS USA, INC.As reported in NPPES

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

Authorized official

Name

Diana Hunley

Title

Director of Operations

Phone

(866) 344-2692

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, MI, NJ, PA, AL5 enrollments

Enrollment records 5

Part of

Retina Labs USA Inc

Locations

Practitioners 5

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.

• Cyrus Golshani, MD

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1972921864

  AL, TN

  Medicare reassignment NPD
• Anton M Kolomeyer, MD, PHD

  • Ophthalmology Physician
  • Vineland, NJ
  • NPI 1245573864

  PA, Retina Specialist

  Medicare reassignment NPD
• Deepak Mangla, M.D.

  • Ophthalmology Physician
  • Lapeer, MI
  • NPI 1942648902

  TN

  Medicare reassignment NPD
• Mahmoud M Shalaby, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1952929804
  NPD (past)
• Robert M White, M.D.

  • Diagnostic Radiology Physician
  • Camden, NJ
  • NPI 1427155167
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1720620313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MARRIOTT DR STE 315",
            "address_2": "SUITE 315",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372145088",
            "telephone_number": "866-344-2692",
            "fax_number": "866-214-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARRIOTT DR STE 315",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372145088",
            "telephone_number": "866-344-2692",
            "fax_number": "866-214-0724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Liberty Plz Ste 2301",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100061428",
            "country_code": "US",
            "telephone_number": "866-344-2692",
            "fax_number": "866-214-0724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA LABS USA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RETINA LABS USA, INC.",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "HUNLEY",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "866-344-2692"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q059898",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Resurgeonce, LLC Bda Compass Human Performance (Compass Cellular Healing)
• Retail Health Clinics, LLC
• Justin Charles Rethi, CRNA
• Carla R Retief, M.D.
• Ignis Clifford Retief, DPM
• Jean-Marie Rettke
• Tyler Erhardt Rettke, DDS
• Austin Robert Retzloff, MD
• Lance Charlie Reuben
• Austin Reuter, PHARMD

• Retina Specialist (Ophthalmology) Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Retina Specialist (Ophthalmology) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.