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

Retina Specialist PC

Organization Ophthalmology Physician · NPI 1275569048

Retina Specialist PC is an Ophthalmology Physician in New York, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

20 W 13th St Ste 422
New York, NY 10011-7995
Phone: (212) 604-9800
Fax: (212) 242-4757
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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 219303 (NY)

Record details

NPI number1275569048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Khadem — President · (212) 604-9800
NPI enumeratedJune 24, 2006
Last updated in NPPESMarch 19, 2015
Mailing address20 W 13th St, New York, NY 10011-7995

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