Advanced Retina Center, LC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

ADVANCED RETINA CENTER, LC

Practice address

1945 Old Gallows Rd Ste 720
Vienna, VA 22182-3983

Phone

(703) 917-0012

Fax

(703) 917-0028

NPI assigned

Sep 26, 2008

Organization subpart

No

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

Authorized official

Name

Jung John Woo, M.D.NPI 1437214525

Title

President

Phone

(703) 917-0012

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Jung John Woo, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Vienna, VA
  • NPI 1437214525

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Nishi Gulati, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Vienna, VA
  • NPI 1629203625

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1275783235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 720",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823983",
            "telephone_number": "703-917-0012",
            "fax_number": "703-917-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 OLD GALLOWS RD STE 720",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823983",
            "telephone_number": "703-917-0012",
            "fax_number": "703-917-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10440 Balls Ford Rd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201092502",
            "country_code": "US",
            "telephone_number": "703-368-3333",
            "fax_number": "703-917-0028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Shawnee Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223122300",
            "country_code": "US",
            "telephone_number": "703-333-3044",
            "fax_number": "703-917-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED RETINA CENTER, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-917-0012",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Retina Specialist (Ophthalmology) Physician in Vienna, VA
• Providers in Vienna, 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 Aug 25, 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.