Organization
RETINA GROUP LIMITED PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC S MANN MD (PRESIDENT)
(618) 632-8100
Entity
Organization
Contact information
Practice address
4550 MEMORIAL DR STE 350, BELLEVILLE, IL 62226-5372
(618) 632-8100
(618) 632-8101
Mailing address
4550 MEMORIAL DR STE 350, BELLEVILLE, IL 62226-5372
(618) 632-8100
(618) 632-8101
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-094928
IL
174400000X
Specialist
105431
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000012366
ESSENCE
IL
01
—
000000012366
ESSENCE MO
MO
01
—
000015461
PTAN
MO
01
—
008257
EXCLU CHOICE IL
IL
01
—
008257
EXCLUSIVE CHOICE MO
MO
01
—
06030124
BCBSIL
IL
01
—
10585
GHP IL
IL
01
—
10585
GHP MO
MO
01
—
143209
BCBSMO
MO
01
—
213418
PTAN
IL
01
—
255484
HLTHLNK
IL
01
—
255484
HEALTHLINK MO
MO
01
—
3411178005
CIGNA IL
IL
01
—
3411178005
CIGNA MO
MO
01
—
5234019
AETNA IL
IL
01
—
5234019
AETNA MO
MO
01
—
CB6939
RRMCRMO GROUP ID
MO
01
—
CB6940
RRMCRIL GROUP ID
IL
Enumeration date
02/09/2007
Last updated
11/10/2025
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