ALLIANCE RETINA — NPI 1669811774 (Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) in MAUMEE, OH)

CMS-1500 Box 24J / 33a • NPI

1669811774

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207WX0107X (CMS 18)

Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)

Box 32 Service Location & ZIP+4

5757 MONCLOVA RD STE 11, MAUMEE, OH, 43537-1863

✓ 9-Digit EDI 837 ZIP+4 (43537-1863)

Practice Phone & Referral Fax

(419) 873-6800

Fax: (419) 873-6804

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1669811774 (ALLIANCE RETINA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669811774` (NPI-2 Organization / Facility)
Provider / Legal Name	ALLIANCE RETINA
Plain-English Specialty	Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor) NUCC Code: `207WX0107X` (Ophthalmology, Retina Specialist)
Certifying / Licensing Body	American Board of Ophthalmology (ABO)
Practice Location Address	5757 MONCLOVA RD STE 11, MAUMEE, OH, 43537-1863
Practice Telephone / Fax	Tel: (419) 873-6800 \| Fax: (419) 873-6804
Administrative Mailing Address	5757 MONCLOVA RD STE 11, MAUMEE, OH, 43537-1863
Enumeration & Last Sync	Enumerated: 2013-06-21 \| CMS Record Updated: 2020-03-25
Authorized Official	JOHN ROSENTHAL (President)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

5757 MONCLOVA RD STE 11, MAUMEE, OH, 43537-1863

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Plain-English Taxonomy & CMS Crosswalk (207WX0107X)

What Does Taxonomy Code 207WX0107X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207WX0107X translates to:
"Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 18 (Physician/Ophthalmology)
Certifying / Accrediting Authority: American Board of Ophthalmology (ABO)
Clinical Scope: Cloudy vision from cataracts, annual diabetic eye exams, glaucoma pressure checks, sudden flashes/floaters, or macular degeneration.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALLIANCE RETINA)

Typical CPT / Diagnostic Procedures:

Phacoemulsification Cataract Extraction with Intraocular Lens (IOL) Implantation (CPT 66984)
Optical Coherence Tomography (OCT) of Retina & Optic Nerve (CPT 92134)
Intravitreal Anti-VEGF Injections for Macular Degeneration & Diabetic Retinopathy
Comprehensive Slit-Lamp Biomicroscopy & Tonometry Glaucoma Screening

Common Therapeutic Classes:

Prostaglandin Analog Eye Drops (Latanoprost, Bimatoprost) & Timolol (Glaucoma)
Moxifloxacin & Ciprofloxacin Ophthalmic Solutions
Prednisolone Acetate & Ketorolac Post-Cataract Ophthalmic Drops

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207WX0107X` — Ophthalmology, Retina Specialist Plain English: Board-Certified in Ophthalmology (Medical & Microsurgical Eye Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALLIANCE RETINA (NPI #1669811774)