Retina Group Limited Pc

LBN: Retina Group Limited Pc
Retina Group Limited Pc is an health care organization with primary practice located at 4550 Memorial Dr Ste 350 , Belleville IL 62226-5372. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Retina Group Limited Pc can be contacted via phone (618) 632-8100, or through Mann, Eric S via phone (618) 632-8100.

Contact Information

Primary practice address
4550 Memorial Dr Ste 350 Belleville IL 62226-5372
Phone: (618) 632-8100
Fax: (618) 632-8101
Website:
Map and Directions
Authorized official contact:
Name: Mann, Eric S Doctor of Medicine (MD)
Phone: (618) 632-8100

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-094928 Illinois
Other Service Providers / Specialist 174400000X 105431 Missouri

Profile Details

NPI number 1477694743
LBN Legal business name Retina Group Limited Pc
DBA Doing business as
Authorized official Mann, Eric S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2007
Last updated Dec 27th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477694743 NPPES
Missouri Other 5234019 AETNA MO
Missouri Other 06030124 AETNA MO
Missouri Other 143209 AETNA MO
Missouri Other 3411178005 AETNA MO
Missouri Other 3411178005 AETNA MO
Missouri Other 000000012366 AETNA MO
Missouri Other 10585 AETNA MO
Missouri Other CB6939 AETNA MO
Missouri Other 008257 AETNA MO
Missouri Other 000000012366 AETNA MO
Missouri Other 213418 AETNA MO
Missouri Other CB6940 AETNA MO
Missouri Other 000015461 AETNA MO
Missouri Other 10585 AETNA MO
Missouri Other 255484 AETNA MO
Missouri Other 255484 AETNA MO
Missouri Other 008257 AETNA MO
Missouri Other 5234019 AETNA MO

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