MEDICARE: THE RETINA GROUP OF WASHINGTON, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1720848757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE RETINA GROUP OF WASHINGTON, PLLC

Provider Business Mailing Address
First Line	:	420 MOUNTAIN AVE FL 4
Second Line	:
City	:	NEW PROVIDENCE
State	:	NJ
Zip	:	07974-2736
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 N POINT BLVD STE 605
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-3662
Country	:	US
Telephone Number	:	410-377-7611
Fax Number	:	410-377-8221

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	STEVEN A MADREPERLA
Credential	:	MD, PHD
Telephone Number	:	908-458-8321

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	05/23/2024

Similar Medicare Providers

1083633168 — ARTHUR L. GOLDVARG, D.D.S., P.A.
Practice Location Address:

1003 N POINT BLVD , SUITE 601
BALTIMORE, MD
21224-3662

Practice Phone: 410-288-2040
Practice Fax: 410-288-2606

1679842397 — ARTHUR L GOLDVARG DDS
Practice Location Address:

1003 N POINT BLVD , SUITE 601
BALTIMORE, MD
21224-3662

Practice Phone: 410-288-2040
Practice Fax: 410-288-2606

1225876238 — BARENBURG OPTICAL SERVICE, INC
Practice Location Address:

1003 N POINT BLVD STE 605
BALTIMORE, MD
21224-3662

Practice Phone: 410-282-5544
Practice Fax:

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

Directions to “THE RETINA GROUP OF WASHINGTON, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.