Organization Active NPI

Global Retina Institute LLC

Doing business as Global Eye Institute

  • Retina Specialist (Ophthalmology) Physician
  • Scottsdale, AZ
National Provider Identifier
1760983563
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
52811 Issued in AZ
Legal business name
GLOBAL RETINA INSTITUTE LLC
Doing business as
Global Eye Institute
Practice address
4835 E Cactus Rd Ste 105
Scottsdale, AZ 85254
Phone
(480) 490-2353
NPI assigned
Feb 27, 2018
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Authorized official

Name
Robin Demi Ross, MD. MPHNPI 1114951506
Title
President
Phone
(480) 534-8080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 52811 AZ Primary

Addresses

Primary practice location

4835 E Cactus Rd Ste 105
Scottsdale, AZ 85254

Mailing address

4835 E Cactus Rd Ste 105
Scottsdale, AZ 85254-4192
Phone (480) 490-8080

Other names 1

  • Global Eye Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180424002150 AZ Part B Supplier - Clinic/Group Practice 5496018558 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

4835 E Cactus Rd
Ste 105
Scottsdale, AZ 85254
Phone (480) 490-2353

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1760983563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 E CACTUS RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544192",
            "telephone_number": "480-490-8080",
            "fax_number": "480-534-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 E CACTUS RD STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-490-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL RETINA INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "DEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-534-8080",
        "authorized_official_credential": "MD. MPH"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "AZ",
            "license": "52811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Global Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.