THE RETINA GROUP OF WASHINGTON PLLC NPI 1154132488

NPI Information

  • NPI: 1154132488
  • Provider Name: THE RETINA GROUP OF WASHINGTON, PLLC
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Organization
  • Address: 4545 DAISY REID AVE FL 1
    WOODBRIDGE, VA
    ZIP 22192
  • Phone: (703) 468-4887

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NPI Details

THE RETINA GROUP OF WASHINGTON, PLLC is a retina specialist ophthalmology in Woodbridge, VA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. THE RETINA GROUP OF WASHINGTON, PLLC NPI is 1154132488. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4545 DAISY REID AVE FL 1
WOODBRIDGE, VA
ZIP 22192-598
Phone: (703) 468-4887
Fax: (703) 590-2288

The provider's authorized official is Steven A Madreperla .
The authorized official title is Ao and has the following contact phone number (908) 458-8333.

The enumeration date for this NPI number is 1/16/2025 and was last updated on 1/16/2025.

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
1207W00000XOphthalmologyNo
2207WX0107XOphthalmologyRetina SpecialistYes

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: 3/30/2025

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