Organization Active NPI

Retina Partners of Florida

  • Retina Specialist (Ophthalmology) Physician
  • Winter Haven, FL
National Provider Identifier
1831820380
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
RETINA PARTNERS OF FLORIDA
Practice address
410 1St St S
Winter Haven, FL 33880-3504
Phone
(863) 412-3785
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
David M Misch, MDNPI 1992775571
Title
Partner
Phone
(863) 412-3785

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) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

410 1St St S
Winter Haven, FL 33880-3504

Mailing address

410 1St St S
Winter Haven, FL 33880-3504
Phone (863) 345-4350

Other practice location 1

1910 Lakeland Hills Blvd
Lakeland, FL 33805-2902
Phone (863) 412-3785

Other practice location 2

5233 US Highway 27 N
Sebring, FL 33870-1954
Phone (863) 412-3785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220818001295 FL Part B Supplier - Clinic/Group Practice 3678956901 Receives reassigned benefits from 4 practitioners
Practice locations: Sebring, FL; Lakeland, FL; Winter Haven, FL

National Provider Directory

National Provider Directory

Locations

5233 US 27 N
Sebring, FL 33870
Phone (863) 345-4350

5233 US 27 N
Ste 2
Sebring, FL 33870

410 1st St S
Winter Haven, FL 33880
Phone (863) 293-4800

409 Avenue K SE
Winter Haven, FL 33880
Phone (863) 294-3504

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1831820380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803504",
            "telephone_number": "863-345-4350",
            "fax_number": "863-296-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 1ST ST S",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803504",
            "telephone_number": "863-412-3785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052902",
            "country_code": "US",
            "telephone_number": "863-412-3785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5233 US Highway 27 N",
            "address_purpose": "LOCATION",
            "city": "Sebring",
            "state": "FL",
            "postal_code": "338701954",
            "country_code": "US",
            "telephone_number": "863-412-3785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA PARTNERS OF FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "MISCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "863-412-3785",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.