Active NPI
Virginia Retina Center LLC
- Ophthalmology Physician
- Warrenton, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 01011233782
- Legal business name
- VIRGINIA RETINA CENTER LLC
- Practice address
- 45 N Hill Dr Ste 202
Warrenton, VA 20186-2677 - Phone
- (540) 349-1882
- Fax
- (703) 738-7157
- NPI assigned
- Jan 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne Mansour
- Title
- Practice Manager
- Phone
- (540) 349-1882
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 01011233782 | VA | Primary |
Addresses
Primary practice location
45 N Hill Dr Ste 202
Warrenton, VA 20186-2677
Mailing address
45 N Hill Dr Ste 202
Warrenton, VA 20186-2677
Phone (540) 349-1882
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010107024 | Medicaid | VA | |
| 010107067 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2130787 | Virginia Retina Center | Certificate of waiver | May 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
18462 Crossroad Pkwy
Culpeper, VA 22701
Phone (703) 443-0015
19500 Sandridge Way
Ste 240
Leesburg, VA 20176
Phone (703) 443-0015
45 N Hill Dr
Warrenton, VA 20186
Phone (540) 347-0180
Interoperability endpoints
- msingh@vrc.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Retina Specialist (Ophthalmology) Physician
- Warrenton, VA
- NPI 1477848034
-
- Ophthalmology Physician
- Warrenton, VA
- NPI 1710206057
-
- Ophthalmology Physician
- Warrenton, VA
- NPI 1376506873
-
- Retina Specialist (Ophthalmology) Physician
- Warrenton, VA
- NPI 1497175681
Single Specialty
-
- Ophthalmology Physician
- Warrenton, VA
- NPI 1992928352
-
- Retina Specialist (Ophthalmology) Physician
- Fairfax, VA
- NPI 1902462047
-
- Ophthalmology Physician
- Houston, TX
- NPI 1134323892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741305600000",
"number": "1093869976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 N HILL DR STE 202",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862677",
"telephone_number": "540-349-1882",
"fax_number": "703-738-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 N HILL DR STE 202",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862677",
"telephone_number": "540-349-1882",
"fax_number": "703-738-7157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIRGINIA RETINA CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A",
"authorized_official_last_name": "MANSOUR",
"authorized_official_first_name": "JOANNE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "540-349-1882"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "VA",
"license": "01011233782",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010107024",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010107067",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.