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Organization

Leder Retina

NPI Record: ActiveOphthalmology — Retina Specialist
NPI1609398916
Jacksonville, Florida

Provider's NPPES record last updated: April 2, 2020

Overview

Entity Type
Organization
NPI
1609398916
Primary Specialty
Ophthalmology — Retina Specialist
Practice Location
Jacksonville, Florida
Organization Subpart
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 10:50 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Ophthalmology

    Retina Specialist

    Allopathic & Osteopathic Physicians

    Primary

    An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

    Taxonomy code 207WX0107X
  • Ophthalmology

    Uveitis and Ocular Inflammatory Disease

    Allopathic & Osteopathic Physicians

    An ophthalmologist who specializes in the treatment of intraocular inflammation, scleritis, keratitis and infectious disorders affecting the eye and inflammatory disorders of the adnexa and/or orbit.

    Taxonomy code 207WX0108X
  • Clinic/Center

    Ambulatory Health Care Facilities

    A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

    Taxonomy code 261Q00000X
  • Clinic/Center

    Ophthalmologic Surgery

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QS0132X

Provider-Reported License Information

Clinic/Center (Maryland)
D64669
Clinic/Center (Maryland)
D64669
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

13241 Bartram Park Blvd Unit 809

Jacksonville, Florida 32258-5216

Phone: (904) 201-9887

Additional Practice Location

332 N Lombardy Loop

Fruit Cove, Florida 32259-5266

Phone: (203) 520-7393

Other Names

  • Leder Retina & Uveitis SpecialistReported April 2, 2020

Record Information

Enumeration Date
July 10, 2017
Provider's NPPES Record Last Updated
April 2, 2020
Certification Date
April 2, 2020
NPISignal NPPES Dataset
August 2026

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