Organization · Type 2 NPI
Retina Consultants, PLLC
Retina Specialist (Ophthalmology) Physician · Charleston, WV
NPI number
1902800758
Active
Practice location
331 Laidley St, Ste 301
Charleston, WV 25301-1605
Fax (304) 346-0704
Mailing address
PO Box 3970
Charleston, WV 25339-3970
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | 002 (WV) |
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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About NPI 1902800758
Retina Consultants, PLLC's National Provider Identifier is 1902800758, issued on Jun 9, 2005. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Charleston, WV. The record was last updated on Jul 21, 2022.