Retina Consultants, Pllc
LBN: Retina Consultants, Pllc
Retina Consultants, Pllc is an health care organization with primary practice located at 331 Laidley St Ste 301, Charleston WV 25301-1605. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty.
Retina Consultants, Pllc can be contacted via phone (304) 346-4400, or through Dundervill, Robert Frank via phone (304) 346-4400.
Contact Information
Primary practice address
331 Laidley St Ste 301
Charleston WV 25301-1605
Phone: (304) 346-4400
Fax: (304) 346-0704
Website:
Authorized official contact:
Name: Dundervill, Robert Frank Doctor of Medicine (MD)
Phone: (304) 346-4400
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 002 | West Virginia |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | West Virginia |
Profile Details
| NPI number | 1902800758 |
|---|---|
| LBN Legal business name | Retina Consultants, Pllc |
| DBA Doing business as | |
| Authorized official | Dundervill, Robert Frank Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902800758 | NPPES |
| West Virginia | MEDICAID | 0008255000 | |
| West Virginia | MEDICAID | 0939668 | |
| West Virginia | MEDICAID | 65927964 |
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