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Organization
THE RETINA GROUP OF NORTHEAST OHIO INC
Active
Organization
THE RETINA GROUP OF NORTHEAST OHIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA L BECKETT (ADMINISTRATOR)
(330) 434-1185
Entity
Organization
Contact information
Practice address
650 GRAHAM RD, SUITE 103, CUYAHOGA FALLS, OH 44221-1052
(330) 434-1185
(330) 434-8533
Mailing address
650 GRAHAM RD, SUITE 103, CUYAHOGA FALLS, OH 44221-1052
(330) 434-1185
(330) 434-8533
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149897
—
OH
01
—
9265582
MCR
—
Enumeration date
02/24/2006
Last updated
09/11/2025
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