Organization
COLUMBIA RETINA CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY CUNDIFF (GENERAL MANAGER)
(573) 449-3846
Entity
Organization
Contact information
Practice address
500 N KEENE ST, SUITE 102, COLUMBIA, MO 65201-8104
(573) 449-3846
(573) 499-1451
Mailing address
500 N KEENE ST, SUITE 102, COLUMBIA, MO 65201-8104
(573) 449-3846
(573) 499-1451
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R5072
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201299708
—
MO
01
—
DH2433
RAILROAD MEDICARE
MO
Enumeration date
03/12/2007
Last updated
09/14/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up