Retina Northwest P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

02670693 Issued in OR

Legal business name

RETINA NORTHWEST P.C.

Practice address

5440 SW Westgate Dr Ste 217
Portland, OR 97221-2421

Phone

(503) 274-2121

Fax

(866) 843-7990

NPI assigned

Sep 29, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen L Marshall, COE

Title

Practice Manager

Phone

(503) 274-2121

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: hsandhu@retinanw.intellechartdirect.net
• Direct secure messaging: mlee@retinanw.intellechartdirect.net
• Direct secure messaging: wzhang@retinanw.intellechartdirect.net
• Direct secure messaging: apatel@retinanw.intellechartdirect.net
• Direct secure messaging: jsingaravelu@retinanw.intellechartdirect.net

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Sukmin Lee, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Portland, OR
  • NPI 1215932033

  WA

  Medicare reassignment Care Compare group NPD
• Apurva K Patel, MD

  • Retina Specialist (Ophthalmology) Physician
  • Portland, OR
  • NPI 1073770707

  WA

  Medicare reassignment Care Compare group NPD
• Harpal Amarjeet Singh Sandhu, MD

  • Retina Specialist (Ophthalmology) Physician
  • Portland, OR
  • NPI 1811204894

  WA

  Medicare reassignment Care Compare group NPD
• Janani Singaravelu, M.D.

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1972037521

  Single Specialty, WA

  Medicare reassignment Care Compare group NPD
• Paul Stanley Tlucek, MD

  • Retina Specialist (Ophthalmology) Physician
  • Portland, OR
  • NPI 1982800470

  WA

  Medicare reassignment Care Compare group NPD
• Wenlan Zhang, MD

  • Retina Specialist (Ophthalmology) Physician
  • Portland, OR
  • NPI 1982961405

  WA

  Medicare reassignment Care Compare group NPD
• Richard Frederick Dreyer, M.D.

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1255336491
  Medicare reassignment
• Irvin Lewis Handelman, M.D.

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1124022587
  NPD (past)
• Craig Augustus Lemley, MD

  • Retina Specialist (Ophthalmology) Physician
  • Medford, OR
  • NPI 1285685032
  NPD (past)
• Karen M Rice, O.D.

  • Low Vision Rehabilitation Optometrist
  • Portland, OR
  • NPI 1902894520
  NPD (past)
• Philip Tawil, O.D.

  • Optometrist
  • San Francisco, CA
  • NPI 1013298165
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1104813781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 NE ST JAMES RD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632148",
            "telephone_number": "503-274-2121",
            "fax_number": "866-843-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 SW WESTGATE DR STE 217",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212421",
            "telephone_number": "503-274-2121",
            "fax_number": "866-843-7990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Monroe Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970358863",
            "country_code": "US",
            "telephone_number": "503-274-2121",
            "fax_number": "866-843-7990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 NE Hoyt St Ste 421",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132984",
            "country_code": "US",
            "telephone_number": "503-274-2121",
            "fax_number": "866-843-7990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9135 SW Barnes Rd Ste 661",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256683",
            "country_code": "US",
            "telephone_number": "503-274-2121",
            "fax_number": "866-843-7990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 NE 136th Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986846951",
            "country_code": "US",
            "telephone_number": "503-274-2121",
            "fax_number": "866-843-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA NORTHWEST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "503-274-2121",
        "authorized_official_credential": "COE"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "02670693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restorative Family Balance LLC
• Restorative Touch Massage
• Restorative Wellness
• Restore Therapy LLC
• Mackenzie Collen Restucci
• Margaret Joan Retondo, MD
• Shamus Micheal Rettler
• Mark Mason Retzlaff, LMT
• Kathryn Ann Retzler, N.D.
• Brittany Reubendale

• Ophthalmology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Ophthalmology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.

Verify at the official NPI Registry.