Venice Retina, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VENICE RETINA, P.A.

Practice address

871 Venetia Bay Blvd Ste 115
Venice, FL 34285-8047

Phone

(941) 202-1900

Fax

(941) 786-3358

NPI assigned

Jun 20, 2019

Organization subpart

No

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

Authorized official

Name

Anita R Shane, MD

Title

President

Phone

(941) 202-1900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1770144727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD STE 115",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858049",
            "telephone_number": "941-202-1900",
            "fax_number": "941-786-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 VENETIA BAY BLVD STE 115",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342858047",
            "telephone_number": "941-202-1900",
            "fax_number": "941-786-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENICE RETINA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "SHANE",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-202-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venice Physical Therapy and Sports Medicine Inc
• Venice Podiatry PLLC
• Venice Pulmonology
• Venice Rehab Center, LLC
• Venice Rehab, LLC
• Venice SNF Opco LLC
• Venice Tuscan Operator, LLC
• Venice Village Chiropractic Clinic PA
• Venice Vision Center, Inc
• Venice Vision LLC

• Ophthalmology Physician in Venice, FL
• Providers in Venice, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.