National Provider Identifier Database

RETINA ASSOCIATES PLLC
Retina Specialist

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.


Contact Information

RETINA ASSOCIATES, PLLC
4414 LAKE BOONE TRL
STE 302
RALEIGH, NC27607-7513
Phone: 919-782-8038
Fax: 919-782-8189
Website:
Specialty Taxonomy Code
* Retina Specialist 207WX0107X
Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for RETINA ASSOCIATES, PLLC

NPI Number 1760408397
Legal business name
LBN
RETINA ASSOCIATES, PLLC
Authorized official DANIEL BENNETT - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/15/2006
Last updated 02/28/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 89014T8
  • NC Other: 014T8 BCBS-GROUP
  • NC Other: 2333843 MEDICARE-GROUP
  • NC Other: DB4007 RR MEDICARE-GROUP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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