CHARLES RETINA INSTITUTE PC
NPI 1477556306
Specialist in Germantown, TN

Q: What is Charles Retina Institute PC's NPI number?

The NPI number for Charles Retina Institute PC is 1477556306. It was assigned to this organization in the NPPES registry on May 24, 2005.

Q: What is Charles Retina Institute PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 24, 2005CLIA 44D2102003 · Waiver

1432 KIMBROUGH RD, GERMANTOWN, TN 38138(901) 767-4499(901) 761-0727 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles Retina Institute Pc NPPES

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

CHARLES RETINA INSTITUTE PC (NPI 1477556306) is a healthcare organization registered as a specialist in Germantown, Tennessee and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through September 14, 2027 and lists Jennifer Messer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1477556306

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCHARLES RETINA INSTITUTE PC

Location Address1432 KIMBROUGH RDGermantown, TN 38138-2405

Mailing Address1432 Kimbrough RdGermantown, TN 38138-2405 · (901) 767-4499 · Fax (901) 761-0727

Phone(901) 767-4499

Fax(901) 761-0727

Organization SubpartNo

Authorized OfficialJennifer MesserAdministrator · (901) 767-4499

Enumeration DateMay 24, 2005

Last NPPES UpdateJanuary 22, 2025

NPPES CertifiedJanuary 22, 2025

✔ NPI 1477556306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in TN · MD8675

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1432 KIMBROUGH RD, Germantown, TN 38138

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Other Identifiers 1

Medicaid3158650TN

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 Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2102003

Charles Retina Institute · Germantown, TN

Active · expires Sep 14, 2027

CLIA Number44D2102003

Laboratory TypePhysician Office

Certificate Effective DateSeptember 15, 2025

Certificate Expiration DateSeptember 14, 2027

Laboratory DirectorSteven Charles

Laboratory Phone(901) 767-4499

Laboratory LocationCharles Retina Institute1432 Kimbrough Rd, Germantown, TN 38138

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESSICA ANN HAYNES O.D.

Optometrist