Retina Center P a

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

L2390 Issued in TX

Legal business name

RETINA CENTER P A

Practice address

2806 E 29TH St
Bryan, TX 77802-2601

Phone

(979) 776-8330

Fax

(979) 774-9157

NPI assigned

Jul 11, 2005

Last updated

Aug 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Derek Peter Kuhl, M.D., PH DNPI 1629074844

Title

Owner

Phone

(979) 776-8330

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Derek Peter Kuhl, MD, PHD

  • Ophthalmology Physician
  • Bryan, TX
  • NPI 1629074844
  Medicare reassignment Care Compare group NPD Authorized official
• Kevin Michael Wells, MD

  • Ophthalmology Physician
  • Bryan, TX
  • NPI 1154765733
  Medicare reassignment Care Compare group NPD
• Ashley Halbert Risner, OD

  • Low Vision Rehabilitation Optometrist
  • Bryan, TX
  • NPI 1457406662
  Medicare reassignment NPD
• Joseph Scott Allison, OD

  • Optometrist
  • Bryan, TX
  • NPI 1497867352
  NPD (past)
• Mark Robert Coffman, MD

  • Ophthalmology Physician
  • Bryan, TX
  • NPI 1710080759
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1922006246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022601",
            "telephone_number": "979-776-8330",
            "fax_number": "979-774-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022601",
            "telephone_number": "979-776-8330",
            "fax_number": "979-774-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "KUHL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-776-8330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH D"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L2390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165691001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DC0989",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alexis Iliana Rey, RPH
• Catrina Reyes
• Logan Cooper Reynolds, DDS
• Erin Anne Reynoso, LM
• Rhema Inc (Rotech)

• Ophthalmology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.