Organization Active NPI

Ophthalmology and Retina Associates, LLC

  • Ophthalmologic Surgery Clinic/Center
  • Waynesburg, PA
National Provider Identifier
1205292463
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
MD454412 Issued in PA
Legal business name
OPHTHALMOLOGY AND RETINA ASSOCIATES, LLC
Practice address
1150 7TH St
Suite 3
Waynesburg, PA 15370-1660
Phone
(724) 852-3008
NPI assigned
Jan 4, 2016
Last updated
Feb 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Dr. Nima Tirgan, M.D.NPI 1467650135
Title
Ophthalmologist
Phone
(409) 750-2576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X MD454412 PA Primary

Addresses

Primary practice location

1150 7TH St
Suite 3
Waynesburg, PA 15370-1660

Mailing address

PO Box 4576
Morgantown, WV 26504-4576
Phone (409) 750-2576

National Provider Directory

National Provider Directory

Locations

1150 7th St
Ste 3
Waynesburg, PA 15370
Phone (724) 852-2200

1150 7th St
Ste B
Waynesburg, PA 15370
Phone (409) 750-2576

3157 Mount Morris Rd
Ste 101
Waynesburg, PA 15370
Phone (724) 627-9119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1205292463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4576",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265044576",
            "telephone_number": "409-750-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 7TH ST",
            "address_2": "SUITE 3",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701660",
            "telephone_number": "724-852-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY AND RETINA ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "TIRGAN",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "409-750-2576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "PA",
            "license": "MD454412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.