Retina Associates, PLLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA ASSOCIATES, PLLC

Doing business as

North Carolina Retina Associates, PC

Practice address

4414 Lake Boone TRL
Ste 302
Raleigh, NC 27607-7513

Phone

(919) 782-8038

Fax

(919) 782-8189

NPI assigned

Jul 15, 2006

Last updated

Feb 28, 2022By 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

Daniel K Bennett, MDNPI 1376715565

Title

Owner

Phone

(919) 782-8038

Specialties & licenses 2

Addresses

Other names 1

• North Carolina Retina Associates, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: jprince@northcarolinaretina.intellechartdirect.net
• Direct secure messaging: kscavelli@northcarolinaretina.intellechartdirect.net
• Direct secure messaging: ldesai@northcarolinaretina.intellechartdirect.net
• Direct secure messaging: mjardeleza@northcarolinaretina.intellechartdirect.net
• Direct secure messaging: msubramanian@northcarolinaretina.intellechartdirect.net

Practitioners 25

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.

• Daniel Kittelle Bennett, MD

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1376715565

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Raynor Christopher Casey, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1821014440
  Medicare reassignment Care Compare group NPD
• John P Denny, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1679684237
  Medicare reassignment Care Compare group NPD
• Lekha Koppolu Desai, MD

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1548503543
  Medicare reassignment Care Compare group NPD
• Nitin Gupta, M.D., M.P.H.

  • Ophthalmology Physician
  • Raleigh, NC
  • NPI 1962454835
  Medicare reassignment Care Compare group NPD
• Maria Stephanie R. Jardeleza, MD

  • Ophthalmology Physician
  • Raleigh, NC
  • NPI 1518125509
  Medicare reassignment Care Compare group NPD
• Brian Lehpamer, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1093957326
  Medicare reassignment Care Compare group NPD
• Rebecca Anna Manning, MD

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1457435992
  Medicare reassignment Care Compare group NPD
• Eugene A. Milder, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1770561722
  Medicare reassignment Care Compare group NPD
• Sachin S Mudvari, MD

  • Retina Specialist (Ophthalmology) Physician
  • Raleigh, NC
  • NPI 1023221199
  Medicare reassignment Care Compare group NPD
• James Carey Pate, M.D.

  • Ophthalmology Physician
  • Raleigh, NC
  • NPI 1518107671
  Medicare reassignment Care Compare group NPD
• Jamie Prince, MD, MPH

  • Ophthalmology Physician
  • Raleigh, NC
  • NPI 1306402359
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1760408397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL STE 302",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077514",
            "telephone_number": "919-782-8038",
            "fax_number": "919-782-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 LAKE BOONE TRL",
            "address_2": "STE 302",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077513",
            "telephone_number": "919-782-8038",
            "fax_number": "919-782-8189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-782-8038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Carolina Retina Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Carolina Retina Associates, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Retina Specialist (Ophthalmology) Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Retina Specialist (Ophthalmology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.