Organization Active NPI

Columbus Retina, LLC

  • Retina Specialist (Ophthalmology) Physician
  • Lima, OH
National Provider Identifier
1922997774
Registry record updated Jun 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
COLUMBUS RETINA, LLC
Practice address
658 W Market St
Lima, OH 45801-4653
Phone
(857) 318-7705
NPI assigned
Jun 28, 2025
Last updated
Jun 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2025

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

Authorized official

Name
Yousef AldairyNPI 1235598087
Title
MD
Phone
(857) 318-7705

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) Physician 207WX0107X NU Primary

Addresses

Primary practice location

658 W Market St
Lima, OH 45801-4653

Mailing address

PO Box 295
Amlin, OH 43002-0295

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250821000563 OH Part B Supplier - Clinic/Group Practice 0648770073 Receives reassigned benefits from 1 practitioner
Practice locations: Lima, OH

National Provider Directory

National Provider Directory

Locations

658 W Market St
Ste 217
Lima, OH 45801
Phone (419) 225-4176

Practitioners & affiliated clinicians

Practitioners 1

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": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751068800000",
    "number": "1922997774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "AMLIN",
            "state": "OH",
            "postal_code": "430020295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014653",
            "telephone_number": "857-318-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS RETINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2025-06-28",
        "certification_date": "2025-06-28",
        "status": "A",
        "authorized_official_last_name": "ALDAIRY",
        "authorized_official_first_name": "YOUSEF",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "857-318-7705"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2025; 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.