Ophthalmology and Retina Associates

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

OPHTHALMOLOGY AND RETINA ASSOCIATES

Practice address

1500 Lafayette Ave
Moundsville, WV 26041-2345

Phone

(304) 845-0908

NPI assigned

Mar 23, 2021

Organization subpart

No

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

Authorized official

Name

Kristyn Billings

Title

Credentialing

Phone

(412) 655-4362

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1144806787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430540315",
            "telephone_number": "409-750-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 LAFAYETTE AVE",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260412345",
            "telephone_number": "304-845-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY AND RETINA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "BILLINGS",
        "authorized_official_first_name": "KRISTYN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "412-655-4362"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "WV25265",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billie Jo Oconnell, RN BSN
• Diane Oconnor
• Mandie Mari Offerman
• Ohio Valley Counseling Service
• Randy Duane Omear
• Ladonna Lynn Orlando
• Michael Raymond Paul Owens
• Michelle Lee Parker
• Tammie Parker
• Claudia Rowan Parnicza

• Retina Specialist (Ophthalmology) Physician in Moundsville, WV
• Providers in Moundsville, WV by specialty
• Retina Specialist (Ophthalmology) Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.