NPIMap

Organization Active NPI

Retina Care Specialists

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1871534719
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME87171 Issued in FL
Legal business name
RETINA CARE SPECIALISTS
Practice address
3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410
Phone
(561) 624-0099
Fax
(561) 624-7373
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Mark Michels, MDNPI 1609880178
Title
President
Phone
(561) 624-0099

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 ME87171 FL Primary

Addresses

Primary practice location

3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410

Mailing address

3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410
Phone (561) 624-0099

National Provider Directory

National Provider Directory

Locations

3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410
Phone (561) 624-0099

Practitioners & affiliated clinicians

Practitioners 9

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1871534719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 PGA BLVD",
            "address_2": "STE 350",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-624-0099",
            "fax_number": "561-624-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 PGA BLVD",
            "address_2": "STE 350",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-624-0099",
            "fax_number": "561-624-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "MICHELS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-624-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME87171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.