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NORTH CAROLINA RETINA ASSOCIATES, PC
NPI 1760408397
Ophthalmology - Retina Specialist in Raleigh, NC

Active since July 15, 2006CLIA Certified · 2 labs
4414 LAKE BOONE TRL, STE 302, RALEIGH, NC 27607(919) 782-8038(919) 782-8189 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 28, 2022, May 20, 2020 (2 updates tracked since 2020).

About North Carolina Retina Associates, Pc NPPES

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

NORTH CAROLINA RETINA ASSOCIATES, PC (NPI 1760408397) is a healthcare organization registered as a retina specialist in Raleigh, North Carolina and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Daniel K Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1760408397
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA ASSOCIATES, PLLC
Location Address4414 LAKE BOONE TRL, STE 302Raleigh, NC 27607-7513
Mailing Address4414 Lake Boone Trl Ste 302Raleigh, NC 27607-7514 · (919) 782-8038 · Fax (919) 782-8189
Phone(919) 782-8038
Fax(919) 782-8189
Organization SubpartNo
Authorized OfficialDaniel K BennettOwner · (919) 782-8038
Enumeration DateJuly 15, 2006
Last NPPES UpdateFebruary 28, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1760408397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
4414 LAKE BOONE TRL, Raleigh, NC 27607
Open in Google Maps ↗

Other Names 1

Doing Business AsNorth Carolina Retina Associates, Pc

Other Identifiers 4

Other2333843NC · Medicare-group
Medicaid89014T8NC
Other014T8NC · Bcbs-group
OtherDB4007NC · Rr Medicare-group

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 34D2339549

North Carolina Retina Associates · Greenville, NC
Active · expires Mar 3, 2028
CLIA Number34D2339549
Laboratory TypePractitioner Other
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorJohn E. Thordsen
Laboratory Phone(919) 782-8038
Laboratory LocationNorth Carolina Retina Associates2613 W Arlington Boulevard, Suite 102, Greenville, NC 27834
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 34D2295380

North Carolina Retina Associates · Cary, NC
Active · expires Dec 10, 2027
CLIA Number34D2295380
Laboratory TypePractitioner Other
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorJohn E. Thordsen
Laboratory Phone(919) 782-8038
Laboratory LocationNorth Carolina Retina Associates106 Ridgeview Drive, Suite 102, Cary, NC 27511
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

RALEIGH OB/GYN CENTRE, PA
Specialist
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 875-8225
DR. MYRA LYNN TEASLEY M.D.
Specialist
4414 LAKE BOONE TRL, SUITE 300
RALEIGH, NC 27607
Wake County (919) 781-5510
SACHIN S MUDVARI MD
Ophthalmology (Retina Specialist)
4414 LAKE BOONE TRL, SUITE 302
RALEIGH, NC 27607
Wake County (919) 782-8038
STOCKS SURGICAL CENTER, PLLC
Specialist
4414 LAKE BOONE TRL, SUITE 309
RALEIGH, NC 27607
Wake County (919) 850-0880
ERIN C. BURNETTE NP
Nurse Practitioner (Family)
4414 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (919) 781-5510
NORTH RALEIGH CARDIOVASCULAR DISEASES PA
Specialist
4414 LAKE BOONE TRL, SUITE 409
RALEIGH, NC 27607
Wake County (919) 790-0130
DR. JENIFER RAE BRISCOE-BRIMMAGE MD
Obstetrics & Gynecology
4414 LAKE BOONE TRL, SUITE 405
RALEIGH, NC 27607
Wake County (919) 876-8225
MR. JAMES GLENDON TRENNER P.A.-C
Physician Assistant (Medical)
4414 LAKE BOONE TRL, SUITE 502
RALEIGH, NC 27607
Wake County (919) 875-0539

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, PLLC's NPI number?

The NPI number for Retina Associates, PLLC is 1760408397. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as North Carolina Retina Associates, PC.

Where is Retina Associates, PLLC located?

Retina Associates, PLLC is located at 4414 Lake Boone Trl Ste 302, Raleigh, NC 27607. The listed phone number is (919) 782-8038.

What is Retina Associates, PLLC's specialty?

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

Does Retina Associates, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Retina Associates, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Retina Associates, 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 Retina Associates, PLLC was last updated on February 28, 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.