NPIMap

Organization Active NPI

Retina Care Specialists PLLC

  • Ophthalmology Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1912192139
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA CARE SPECIALISTS PLLC
Practice address
3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410-2819
Phone
(561) 624-0099
Fax
(561) 624-7373
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mark Michels, M.D.NPI 1609880178
Title
Partner
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 FL Primary

Addresses

Primary practice location

3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410-2819

Mailing address

3399 Pga Blvd
Ste 350
Palm Beach Gardens, FL 33410-2819
Phone (561) 624-0099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080305000171 FL Part B Supplier - Clinic/Group Practice 2264517952 Receives reassigned benefits from 8 practitioners
Practice locations: Port St Lucie, FL; West Palm Beach, FL; Stuart, FL; Palm Beach Gardens, FL; Fort Pierce, FL; Boynton Beach, FL

National Provider Directory

National Provider Directory
Tax ID family
Retina Care Specialists LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9868 S State Road 7
Ste 230
Boynton Beach, FL 33472
Phone (561) 624-0099

1859 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-0089

1700 SE Hillmoor Dr
Ste 100
Port St Lucie, FL 34952
Phone (772) 878-6242

55 SE Osceola St
Ste 203
Stuart, FL 34994
Phone (561) 871-9300

3399 Pga Blvd
Ste 220
West Palm Bch, FL 33410
Phone (561) 624-0099

1500 N Dixie Hwy
Ste 350
West Palm Beach, FL 33401

Practitioners & affiliated clinicians

Practitioners 8

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1912192139",
    "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": "334102819",
            "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": "334102819",
            "telephone_number": "561-624-0099",
            "fax_number": "561-624-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CARE SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "MICHELS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "561-624-0099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": null,
            "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 Jan 25, 2022; 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.