MEDICARE: RETINA SPECIALISTS OF OHIO

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

General Provider Information

NPI Number	:	1891743670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETINA SPECIALISTS OF OHIO

Provider Business Mailing Address
First Line	:	PO BOX 490
Second Line	:
City	:	RICHFIELD
State	:	OH
Zip	:	44286-0490
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5500 RIDGE RD
Second Line	:	SUITE 208
City	:	PARMA
State	:	OH
Zip	:	44129-2394
Country	:	US
Telephone Number	:	216-390-1030
Fax Number	:	888-494-3065

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	SHARON KERNIG
Credential	:
Telephone Number	:	330-235-3156

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	05/07/2026

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Directions to “RETINA SPECIALISTS OF OHIO ” Practice Location

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