# REGIONAL RETINA AND MACULA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164852075
- **Authorized official:** PAUL A KURZ (MEMBER)
- **Authorized official phone:** (503) 901-1531

## Contact information

- **Practice address:** 330 N CHESTNUT ST, RAVENNA, OH 44266-2287
- **Practice address phone:** (503) 901-1531
- **Mailing address:** 330 N CHESTNUT ST, RAVENNA, OH 44266-2287

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35083570 | OH | Yes |

## Other

- **Enumeration date:** 11/14/2013
- **Last updated:** 11/14/2013