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Organization
RETINA GROUP, INC
Active
Organization
RETINA GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKOLE DELANEY (PRACTICE ADMINISTRATOR)
(614) 464-3937
Entity
Organization
Contact information
Practice address
262 NEIL AVE STE 220, COLUMBUS, OH 43215-7310
(614) 464-3937
Mailing address
262 NEIL AVE STE 220, COLUMBUS, OH 43215-7310
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000391
—
OH
05
—
2016884
—
OH
05
—
2016893
—
OH
05
—
2038397
—
OH
01
—
CD4896
RAILROAD MEDICARE
—
01
—
CD4897
RAILROAD MEDICARE
—
Enumeration date
03/06/2007
Last updated
05/21/2021
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