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Southern New England Retina Associates, PC

Ophthalmology Physician in Providence, RI · enumerated 2006 · authorized official Magdalena Krzystolik, President.

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

National Provider Identifier

1548228794

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Registry record

Entity type Organization (Type 2)
Legal business name Southern New England Retina Associates, PC
Practice address 1 Randall Sq, Suite 203, Providence, RI, 02904
Fax (401) 453-0077
Enumeration date May 3, 2006
Last updated in NPPES Jul 20, 2011

Taxonomy & classification

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Magdalena Krzystolik
Title President

Other identifiers

Identifier Type State Issuer
9004676 Medicaid RI -
9762591 Medicaid MA -
M19151 Other MA BCBS
624129 Other RI TUFTS HEALTH CARE
7246790 Other RI AETNA

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

Where is Southern New England Retina Associates, PC located?
The practice location on file with NPPES is in Providence, RI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-07-20. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-20.