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RETINA CENTER PC
NPI 1861539694
Ophthalmology in Saint Louis, MO

Active since January 31, 2007
11710 OLD BALLAS RD, SUITE 102, SAINT LOUIS, MO 63141(314) 569-2020(314) 569-1596 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Retina Center Pc NPPES

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

RETINA CENTER PC (NPI 1861539694) is a healthcare organization registered as an ophthalmology in Saint Louis, Missouri and active in the NPI registry since January 2007. The organization lists Kimberly Ann Thompson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1861539694
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRETINA CENTER PC
Location Address11710 OLD BALLAS RD, SUITE 102Saint Louis, MO 63141-7076
Mailing Address11710 Old Ballas Rd, Suite 102Saint Louis, MO 63141-7076 · (314) 569-2020 · Fax (314) 569-1596
Phone(314) 569-2020
Fax(314) 569-1596
Organization SubpartNo
Authorized OfficialKimberly Ann ThompsonAdministrator · (314) 569-2020
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJanuary 24, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1861539694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in MO · R9531✔ Licensed in MO · 2004012770
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
11710 OLD BALLAS RD, Saint Louis, MO 63141
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Retina Center PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Robert Olk, MD
Ophthalmology
NPI 1265429245
11710 OLD BALLAS RD SUITE 102
Saint Louis, MO 63141
(314) 569-2020
✔ PECOS✔ Accepts MedicareSame address
Shana Rose, M.D.
Ophthalmology
NPI 1508020645
1011 BOWLES AVE SUITE 415
Fenton, MO 63026
(636) 717-1700
✔ PECOS✔ Accepts Medicare9.7 mi
Levent Akduman, MD
Ophthalmology
NPI 1245344605
1755 S GRAND
St Louis, MO 63104
(314) 256-3232
✔ PECOS✔ Accepts Medicare11 mi
Enrique Peralta
Ophthalmology
NPI 1346237534
3990 N ILLINOIS ST
Swansea, IL 62226
(618) 277-1130
✔ PECOS✔ Accepts Medicare26 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 Retina Center PC's NPI number?

The NPI number for Retina Center PC is 1861539694. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Retina Center PC located?

Retina Center PC is located at 11710 Old Ballas Rd Suite 102, Saint Louis, MO 63141. The listed phone number is (314) 569-2020.

What is Retina Center PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Retina Center PC enrolled in Medicare?

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

How many clinicians bill Medicare through Retina Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina Center PC. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Retina Center PC 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 3 other insurers list Retina Center PC 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 Center PC was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.