RETINA ASSOCIATES OF MISSOURI, P.C.
NPI 1144204553
Ophthalmology - Retina Specialist in Columbia, MO

Q: What is Retina Associates Of Missouri, P.C.'s NPI number?

The NPI number for Retina Associates Of Missouri, P.C. is 1144204553. It was assigned to this organization in the NPPES registry on November 30, 2005.

Q: What is Retina Associates Of Missouri, P.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Active since November 30, 2005

3600 AMRON CT, COLUMBIA, MO 65202(573) 874-1616(573) 875-0300 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Retina Associates Of Missouri, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA ASSOCIATES OF MISSOURI, P.C. (NPI 1144204553) is a healthcare organization registered as a retina specialist in Columbia, Missouri and active in the NPI registry since November 2005. The organization lists Jerry R Blair, President, as its authorized official.

NPPES Registry Identity

NPI1144204553

Entity TypeOrganization

Primary Taxonomy207WX0107X

Legal Business NameRETINA ASSOCIATES OF MISSOURI, P.C.

Location Address3600 AMRON CTColumbia, MO 65202-1918

Mailing Address3600 Amron CtColumbia, MO 65202-1918 · (573) 874-1616 · Fax (573) 875-0300

Phone(573) 874-1616

Fax(573) 875-0300

Organization SubpartNo

Authorized OfficialJerry R BlairPresident · (573) 874-1616

Enumeration DateNovember 30, 2005

Last NPPES UpdateDecember 3, 2020

NPPES CertifiedDecember 3, 2020

✔ NPI 1144204553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in MO · MD108058

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

3600 AMRON CT, Columbia, MO 65202

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Retina Associates Of Missouri, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Retina Associates Of Missouri, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Clint Kellogg, D.O.

Ophthalmology

NPI 1477998839

3600 AMRON CT
Columbia, MO 65202

(573) 874-1616

✔ PECOS✔ Accepts MedicareSame address

Jerry Blair, M.D., PH.D.

Ophthalmology

NPI 1790769701

3600 AMRON CT
Columbia, MO 65202

(573) 874-1616

✔ PECOSSame address

Wayne Davis, DO

Ophthalmology

NPI 1265663017

3600 AMRON CT
Columbia, MO 65202

(573) 874-1616

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina Associates Of Missouri, P.C.'s NPI number?

The NPI number for Retina Associates Of Missouri, P.C. is 1144204553. It was assigned to this organization in the NPPES registry on November 30, 2005.

Where is Retina Associates Of Missouri, P.C. located?

Retina Associates Of Missouri, P.C. is located at 3600 Amron Ct, Columbia, MO 65202. The listed phone number is (573) 874-1616.

What is Retina Associates Of Missouri, P.C.'s specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Retina Associates Of Missouri, P.C. enrolled in Medicare?

Yes. Retina Associates Of Missouri, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Associates Of Missouri, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina Associates Of Missouri, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Retina Associates Of Missouri, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Retina Associates Of Missouri, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Retina Associates Of Missouri, P.C. was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.