# RETINA CENTER PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** The Retina Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477537645
- **Authorized official:** ROBERT NEIL MAMES MD (DIRECTOR PRESIDENT)
- **Authorized official phone:** (352) 333-5050

## Contact information

- **Practice address:** 6400 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32605-6605
- **Practice address phone:** (352) 333-5050
- **Practice address fax:** (352) 248-2228
- **Mailing address:** 6400 W NEWBERRY RD, SUITE 301, GAINESVILLE, FL 32605-6605
- **Mailing address phone:** (352) 333-5050
- **Mailing address fax:** (352) 248-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | FL | Yes |

## Other

- **Enumeration date:** 12/01/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 74579 | BCBS | FL |