Organization Active NPI

Retina Associates of Florida, P.a.

  • Ophthalmology Physician
  • Tampa, FL
National Provider Identifier
1811959570
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA ASSOCIATES OF FLORIDA, P.A.
Practice address
602 S Macdill Avenue
Tampa, FL 33609-4614
Phone
(813) 875-6373
Fax
(813) 876-0960
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Dr. Mark E Hammer, MDNPI 1356304745
Title
Doctor
Phone
(813) 875-6373

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

602 S Macdill Avenue
Tampa, FL 33609-4614

Mailing address

602 S Macdill Avenue
Tampa, FL 33609-4614
Phone (813) 875-6373

Other identifiers 1

IdentifierTypeStateIssuer
38722OtherFLBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090206000586 FL Part B Supplier - Clinic/Group Practice 4486719408 Receives reassigned benefits from 4 practitioners
Practice locations: Tampa, FL; Brandon, FL; Lakeland, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2220560Retina Associates of Florida LLC602 South Macdill Avenue, Tampa, FL 33609Certificate of waiverApr 12, 2027

National Provider Directory

National Provider Directory

Locations

325 S Parsons Ave
Brandon, FL 33511
Phone (813) 397-6779

18709 N Dale Mabry Hwy
Ste B
Lutz, FL 33548

105 Southern Oaks Dr
Plant City, FL 33563
Phone (813) 754-1869

602 S Macdill Ave
Tampa, FL 33609
Phone (813) 391-7296

4444 E Fletcher Ave
Tampa, FL 33613

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1811959570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S MACDILL AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094614",
            "telephone_number": "813-875-6373",
            "fax_number": "813-876-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S MACDILL AVENUE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094614",
            "telephone_number": "813-875-6373",
            "fax_number": "813-876-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF FLORIDA, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "HAMMER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "813-875-6373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "38722",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.