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RETINA & VITREOUS CONSULTANTS OF VIRGINIA PC NPI 1114172319


NPI Information

NPI: 1114172319
Provider Name: RETINA & VITREOUS CONSULTANTS OF VIRGINIA, PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
905 CEDAR CREEK GRADE
SUITE 105
WINCHESTER, VA
ZIP 22601
Phone: (540) 662-1810
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RETINA & VITREOUS CONSULTANTS OF VIRGINIA, PC is an ophthalmology in Winchester, VA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. RETINA & VITREOUS CONSULTANTS OF VIRGINIA, PC NPI is 1114172319. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

905 CEDAR CREEK GRADE
SUITE 105
WINCHESTER, VA
ZIP 22601-705
Phone: (540) 662-1810
Fax: (540) 662-1812

The provider's authorized official is Waqas Ilyas .
The authorized official title is Owner and has the following contact phone number (804) 380-4525.

The enumeration date for this NPI number is 12/2/2008 and was last updated on 7/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1614091000OTHERVIRGINIADOL
2GC1194MEDICARE PINVIRGIN ISLANDS
31114172319MEDICAIDVIRGINIA
43810014177MEDICAIDWEST VIRGINIA
5DO9443OTHERVIRGINIAMEDICARE RR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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