Organization Active NPI

Susquehanna Retina Center

  • Retina Specialist (Ophthalmology) Physician
  • Lemoyne, PA
National Provider Identifier
1235857475
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
SUSQUEHANNA RETINA CENTER
Practice address
20 Erford Rd Ste 110
Lemoyne, PA 17043-1163
Phone
(717) 798-4096
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Dr. Bozho Todorich, MD, PHDNPI 1730472879
Title
Owner/President
Phone
(717) 798-4096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

20 Erford Rd Ste 110
Lemoyne, PA 17043-1163

Mailing address

20 Erford Rd Ste 110
Lemoyne, PA 17043-1163
Phone (717) 798-4096

Other practice location 1

3901 Hartzdale Dr Ste 101
Camp Hill, PA 17011-7843
Phone (717) 307-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220921003963 PA Part B Supplier - Clinic/Group Practice 0648655951 Receives reassigned benefits from 1 practitioner
Practice locations: Camp Hill, PA; Lemoyne, PA

National Provider Directory

National Provider Directory

Locations

3901 Hartzdale Dr
Ste 101
Camp Hill, PA 17011
Phone (717) 307-2440

20 Erford Rd
Ste 110
Lemoyne, PA 17043
Phone (717) 307-2440

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1235857475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ERFORD RD STE 110",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431163",
            "telephone_number": "717-798-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 ERFORD RD STE 110",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431163",
            "telephone_number": "717-798-4096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Hartzdale Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170117843",
            "country_code": "US",
            "telephone_number": "717-307-2440",
            "fax_number": "717-420-1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUSQUEHANNA RETINA CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "TODORICH",
        "authorized_official_first_name": "BOZHO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "717-798-4096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.