Organization · Type 2 NPI

Lakewood Ranch Retina

Retina Specialist (Ophthalmology) Physician · Lakewood Ranch, FL

NPI number 1275325060 Active

Practice location

5569 Broadcast Ct Unit 3
Lakewood Ranch, FL 34240-8472

Specialties and licenses

TaxonomyCodeLicense
Retina Specialist (Ophthalmology) Physician Primary 207WX0107XNone listed

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Another provider at this address

About NPI 1275325060

Lakewood Ranch Retina's National Provider Identifier is 1275325060, issued on May 19, 2025. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Lakewood Ranch, FL. The record was last updated on Jul 23, 2026.