RETINA ASSOCIATES, PSC
NPI 1285639666
Ophthalmology in Louisville, KY
About Retina Associates, Psc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RETINA ASSOCIATES, PSC (NPI 1285639666) is a healthcare organization registered as an ophthalmology in Louisville, Kentucky and active in the NPI registry since June 2005. The organization lists Mark M Prussian, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Retina Associates, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Retina Associates, Psc, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (10)
Louisville, KY 40206
Louisville, KY 40206
Louisville, KY 40206
Louisville, KY 40217
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, Psc's NPI number?
The NPI number for Retina Associates, Psc is 1285639666. It was assigned to this organization in the NPPES registry on June 14, 2005.
Where is Retina Associates, Psc located?
Retina Associates, Psc is located at 1536 Story Ave The Eye Care Institute Building, Louisville, KY 40206. The listed phone number is (502) 589-1500.
What is Retina Associates, Psc's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Retina Associates, Psc enrolled in Medicare?
Yes. Retina Associates, Psc is registered in the Medicare PECOS enrollment system.
When is Retina Associates, Psc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Retina Associates, Psc?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Retina Associates, Psc. 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. The largest specialties are Ophthalmology (6) and Optometry (4). Of these, 6 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Retina Associates, Psc accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Retina Associates, Psc 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, Psc was last updated on October 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Retina Associates, Psc · NPI 1285639666
Ophthalmology organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since June 14, 2005.
## Identity
- **NPI:** 1285639666 (Entity type: Organization)
- **Enumerated:** June 14, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Mark Prussian, ADMINISTRATOR
## Practice location
- **Address:** 1536 STORY AVE, THE EYE CARE INSTITUTE BUILDING, Louisville, KY 40206-1738
- **Phone:** (502) 589-1500 · **Fax:** (502) 589-1556
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (6), Optometry (4); 6 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2018
- **Other identifiers:** Medicaid 65917502 (KY); Medicaid 100221560A (IN); Other 779033591 (KY); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1285639666) · Data from the CMS NPPES public registry.