LEDER RETINA
LEDER RETINA is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1609398916, based in Jacksonville, FL. The organization lists 4 taxonomy classifications, with Retina Specialist (Ophthalmology) Physician recorded as primary.
Getting there
The practice address on file is 13241 BARTRAM PARK BLVD UNIT 809, Jacksonville, FL 32258. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| D64669 | MD | Ophthalmologic Surgery Clinic/Center |
| D64669 | MD | Clinic/Center |
This provider holds licence D64669 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 8628340486
- Enrollment ID
- O20200403000664
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Retina Specialist covers
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. NUCC Health Care Provider Taxonomy, code 207WX0107X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207WX0107X | Retina Specialist (Ophthalmology) Physician Retina Specialist | — | — | primary |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center Ophthalmologic Surgery | D64669 | MD | |
| 207WX0108X | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician Uveitis and Ocular Inflammatory Disease | — | — | |
| 261Q00000X | Clinic/Center | D64669 | MD |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1609398916 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 10, 2017 |
| Last updated | Apr 2, 2020 |
| Status | Active |
| Practice address |
13241 BARTRAM PARK BLVD UNIT 809 Jacksonville, FL 32258 (904) 201-9887 Fax (904) 325-6434 |
| Mailing address |
332 N LOMBARDY LOOP Fruit Cove, FL 32259 |
| Other identifiers |
048036300
· Medicaid (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 6 | 0 | 9 | 3 | 9 | 8 | 9 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 0 | 9 | 6 | 9 | 7 | 9 | 2 |
Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.