# RETINA GROUP, INC

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

## Provider details

- **NPI number:** 1588794200
- **Authorized official:** NICKOLE DELANEY (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (614) 464-3937

## Contact information

- **Practice address:** 262 NEIL AVE STE 220, COLUMBUS, OH 43215-7310
- **Practice address phone:** (614) 464-3937
- **Mailing address:** 262 NEIL AVE STE 220, COLUMBUS, OH 43215-7310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 05/21/2021

## 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 | — |
