Retina & Vitreous Consultants of Virginia, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA & VITREOUS CONSULTANTS OF VIRGINIA, PC

Practice address

905 Cedar Creek Grade
Suite 105
Winchester, VA 22601-2705

Phone

(540) 662-1810

Fax

(540) 662-1812

NPI assigned

Dec 2, 2008

Organization subpart

No

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

Authorized official

Name

Waqas Ilyas, M.D.NPI 1467482984

Title

Owner

Phone

(804) 380-4525

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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

• Waqas Ilyas, MD

  • Ophthalmology Physician
  • Winchester, VA
  • NPI 1467482984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1114172319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CEDAR CREEK GRADE",
            "address_2": "SUITE 105",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012705",
            "telephone_number": "540-662-1810",
            "fax_number": "540-662-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 CEDAR CREEK GRADE",
            "address_2": "SUITE 105",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012705",
            "telephone_number": "540-662-1810",
            "fax_number": "540-662-1812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA & VITREOUS CONSULTANTS OF VIRGINIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "ILYAS",
        "authorized_official_first_name": "WAQAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-380-4525",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114172319",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "614091000",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810014177",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DO9443",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Respiratory Care Associates, LC
• Lee Resta, M.D.
• Silvia Restivo, LPC
• Anne Restrepo
• Nicolas Cipriano Restrepo, M.D.
• Retina Associates, PC
• Frank H Reuling Jr., M.D.
• Marc Allen Reyes, OD
• Marga Elizabeth Reynolds, OT/L
• Sarah Reynolds, M.ED., BCBA, LBA

• Ophthalmology Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.