Retina Wellness and Surgery PLLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA WELLNESS AND SURGERY PLLC

Practice address

1880 Reservoir St Ste a
Harrisonburg, VA 22801-8832

Phone

(540) 232-9875

NPI assigned

Jul 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. David Pan, MDNPI 1083854699

Title

Group President

Phone

(540) 920-2020

Specialties & licenses 1

Addresses

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.

• David Pan, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Harrisonburg, VA
  • NPI 1083854699
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1174256648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 RESERVOIR ST STE A",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018832",
            "telephone_number": "540-920-2020",
            "fax_number": "540-920-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 RESERVOIR ST STE A",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228018832",
            "telephone_number": "540-232-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA WELLNESS AND SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "GROUP PRESIDENT",
        "authorized_official_telephone_number": "540-920-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold F. Reilly III, M.D.
• Phillip M Renick, MD
• Elizabeth Resto, LPC
• Restorative Recovery, PLLC
• Retina of Virginia PLC
• Julio Manuel Reyes Flores
• Danielle Joy Rhodes, PA-C
• Lisa M Rhodes, BCBA, LBA
• Sylvia Witmer Rhodes, LCSW
• Gilbert C Rice III, DO

• Retina Specialist (Ophthalmology) Physician in Harrisonburg, VA
• Providers in Harrisonburg, VA by specialty
• Retina Specialist (Ophthalmology) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.