OrganizationActive
Retina Associates of Missouri, P.C.
NPI 1144204553 · Retina Specialist (Ophthalmology) Physician · Columbia, MO
Provider details
- NPI number
- 1144204553
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Blair, President(573) 874-1616
- License
- MD108058 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3600 Amron Ct
Columbia, MO 65202-1918
Phone: (573) 874-1616
Fax: (573) 875-0300
Approximate (ZIP-level) locationGet directions
Mailing address
3600 Amron Ct
Columbia, MO 65202-1918
Registry dates
- Enumerated
- 2005-11-30
- Last updated
- 2020-12-03
- Certified
- 2020-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.