Ridley Creek Retina Llc

LBN: Ridley Creek Retina Llc
Ridley Creek Retina Llc is an health care organization with primary practice located at 200 E State St Ste 105 , Media PA 19063-3434. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Ridley Creek Retina Llc can be contacted via phone (610) 892-1708, or through Lange, Jason via phone (610) 892-1708.

Contact Information

Primary practice address
200 E State St Ste 105 Media PA 19063-3434
Phone: (610) 892-1708
Fax: (610) 892-8766
Website:
Map and Directions
Authorized official contact:
Name: Lange, Jason Doctor of Medicine (MD)
Phone: (610) 892-1708

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X

Profile Details

NPI number 1417564592
LBN Legal business name Ridley Creek Retina Llc
DBA Doing business as
Authorized official Lange, Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2020
Last updated Sep 23rd, 2020 - about 4 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.

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