HARBOR RETINA CENTER PLLC
NPI 1639781545
Ophthalmology - Retina Specialist in Lapeer, MI

Q: What is Harbor Retina Center PLLC's NPI number?

The NPI number for Harbor Retina Center PLLC is 1639781545. It was assigned to this organization in the NPPES registry on August 21, 2020.

Q: What is Harbor Retina Center PLLC's specialty?

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

Active since August 21, 2020

3273 DAVISON RD STE 1, LAPEER, MI 48446(810) 356-9700 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2022, Aug 26, 2021, Dec 29, 2020 and 2 more (5 updates tracked since 2020).

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About Harbor Retina Center Pllc NPPES

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

HARBOR RETINA CENTER PLLC (NPI 1639781545) is a healthcare organization registered as a retina specialist in Lapeer, Michigan and active in the NPI registry since August 2020. The organization maintains a secondary practice location in Troy and lists Deepak Mangla, Physician, as its authorized official.

NPPES Registry Identity

NPI1639781545

Entity TypeOrganization

Primary Taxonomy207WX0107X

Legal Business NameHARBOR RETINA CENTER PLLC

Location Address3273 DAVISON RD STE 1Lapeer, MI 48446-2902

Mailing Address3273 Davison Rd Ste 1Lapeer, MI 48446-2902 · (810) 356-9700 · Fax (810) 356-9700

Phone(810) 356-9700

Organization SubpartNo

Authorized OfficialDeepak ManglaPhysician · (810) 356-9700

Enumeration DateAugust 21, 2020

Last NPPES UpdateJuly 18, 20225 updates tracked since enumeration

NPPES CertifiedJuly 18, 2022

✔ NPI 1639781545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Definition

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

3273 DAVISON RD STE 1, Lapeer, MI 48446

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Secondary Practice Location 1

Location 12950 W Square Lake Rd Ste 101Troy, MI 48098-5725 · Phone (248) 983-5250 · Fax (248) 983-5250

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 Buckeye Health Plan, Ambetter from Meridian, 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)

Harbor Retina Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Harbor Retina Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deepak Mangla, M.D.

Ophthalmology

NPI 1942648902

3273 DAVISON RD STE 1
Lapeer, MI 48446

(810) 356-9700

✔ PECOS✔ Accepts Medicare0.9 mi

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 Harbor Retina Center PLLC's NPI number?

The NPI number for Harbor Retina Center PLLC is 1639781545. It was assigned to this organization in the NPPES registry on August 21, 2020.

Where is Harbor Retina Center PLLC located?

Harbor Retina Center PLLC is located at 3273 Davison Rd Ste 1, Lapeer, MI 48446. The listed phone number is (810) 356-9700.

What is Harbor Retina Center PLLC's specialty?

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

Is Harbor Retina Center PLLC enrolled in Medicare?

Yes. Harbor Retina Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harbor Retina Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Harbor Retina Center PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Harbor Retina Center PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Harbor Retina Center PLLC 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 Harbor Retina Center PLLC was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.