MEDICARE: RETINA MACULA SPECIALISTS OF MIAMI LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	ME86697	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871919043
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETINA MACULA SPECIALISTS OF MIAMI LLC

Provider Business Mailing Address
First Line	:	184 NE 168TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33162-3412
Country	:	US
Telephone Number	:	305-655-0411
Fax Number	:	305-655-0499

Provider Business Practice Location Address
First Line	:	2200 N COMMERCE PKWY STE 110
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33326-3258
Country	:	US
Telephone Number	:	954-452-9922
Fax Number	:	544-527-5749

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	JAY HARRIS LEVY
Credential	:	MD
Telephone Number	:	305-653-6500

Provider Enumeration Date	:	03/12/2014
Last Update Date	:	12/17/2025

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