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Retina Associates, Psc

Ophthalmology Physician in Louisville, KY · enumerated 2005 · authorized official Mark Prussian, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1285639666

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Registry record

Entity type Organization (Type 2)
Legal business name Retina Associates, Psc
Practice address 1536 Story Ave, The Eye Care Institute Building, Louisville, KY, 40206
Fax (502) 589-1556
Enumeration date Jun 14, 2005
Last updated in NPPES Oct 15, 2018

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 1136DT (KY) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 1614DT (KY) Secondary
152W00000X Optometrist Eye and Vision Services Providers · License 1613DT (KY) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 31573 (KY) Primary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 28804 (KY) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 28590 (KY) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 01043769 (IN) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 01043733 (IN) Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians · License 01040010 (IN) Secondary

Authorized official

Name Mark Prussian
Title Administrator

Other identifiers

Identifier Type State Issuer
779033591 Other KY GROUP OD MEDICAID NUMBER
100221560A Medicaid IN -
1121048 Other KY GROUP PASSPORT NUMBER
65917502 Medicaid KY -
CF7698 Other KY GROUP RR MEDICARE NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Retina Associates, Psc?
The NPI for Retina Associates, Psc is 1285639666, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Retina Associates, Psc?
NPPES lists Mark Prussian (Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-10-15.