Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Retina Center PC

Organization Ophthalmology Physician · NPI 1861539694

Retina Center PC is an Ophthalmology Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11710 Old Ballas Rd Ste 102
Saint Louis, MO 63141-7076
Phone: (314) 569-2020
Fax: (314) 569-1596
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence R9531 (MO)
Ophthalmology Physician Taxonomy 207W00000X · Licence 2004012770 (MO)
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X

Record details

NPI number1861539694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Thompson — Administrator · (314) 569-2020
NPI enumeratedJanuary 31, 2007
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 11, 2024
Mailing address11710 Old Ballas Rd, Suite 102, Saint Louis, MO 63141-7076

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