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General NPI Number Information
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NPI Number | 1750477188
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Entity Type | Organization
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Legal Business Name | RETINA ASSOCIATES, PC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 190 CAMPUS BLVD STE 320
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City | WINCHESTER
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State | VA
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Zip | 22601-2872
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Country | US
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Telephone | 540-722-3500
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Fax | 540-722-3536
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Provider Business Mailing Address
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Address Line | 190 CAMPUS BLVD STE 320
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City | WINCHESTER
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State | VA
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Zip | 22601-2872
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Country | US
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Telephone | 540-722-3500
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Fax | 540-722-3536
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CRYSTAL WAUGH
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Credential |
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Telephone | 540-722-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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