Active NPI
Retina Group of Pennsylvania, P.C.
- Ophthalmology Physician
- Williamsport, PA
National Provider Identifier
1295798924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RETINA GROUP OF PENNSYLVANIA, P.C.
- Practice address
- 800 W. Fourth Street
Ste 104
Williamsport, PA 17701-7200 - Phone
- (570) 321-0880
- Fax
- (570) 321-8012
- NPI assigned
- Apr 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David A Lightman, MD
- Title
- President
- Phone
- (570) 321-0880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
800 W. Fourth Street
Ste 104
Williamsport, PA 17701-7200
Mailing address
800 W. Fourth Street
Ste 104
Williamsport, PA 17701-7200
Phone (570) 321-0880
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0017783920003 | Other | PA | MEDICAID MUNCY |
| CG3379 | Other | PA | RAILRAOD MEDICARE |
| G68788 | Other | PA | AMERIHEALTH ADMINISTRATOR |
| 0005589714 | Other | PA | AETNA |
| 5365 | Other | PA | GEISINGER HEALTH PLAN |
| 1934935 | Other | PA | UNITED HEALTHCARE |
| 0017783920010 | Other | PA | MEDICAID WILLIAMSPORT |
| S3689 | Other | PA | EMPIRE BCBS |
| 0017783920003 | Other | PA | MEDICAID DUBOIS |
| 001778392 | Medicaid | PA | |
| 0017783920002 | Other | PA | MEDICAID LEWISBURG |
| 220491 | Other | PA | FIRST PRIORITY HEALTH |
| 768788 | Other | PA | BCBS |
| 324858 | Other | PA | HEALTH AMERICA |
Other names 1
- Vitreoretinal Associates, P.C.
National Provider Directory
National Provider DirectoryLocations
1705 Warren Ave
Ste 302
Williamsport, PA 17701
Phone (570) 321-0880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262217600000",
"number": "1295798924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W. FOURTH STREET",
"address_2": "STE 104",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177017200",
"telephone_number": "570-321-0880",
"fax_number": "570-321-8012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W. FOURTH STREET",
"address_2": "STE 104",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177017200",
"telephone_number": "570-321-0880",
"fax_number": "570-321-8012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA GROUP OF PENNSYLVANIA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-12",
"last_updated": "2009-12-31",
"status": "A",
"authorized_official_last_name": "LIGHTMAN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-321-0880",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID MUNCY",
"identifier": "0017783920003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "CG3379",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH ADMINISTRATOR",
"identifier": "G68788",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005589714",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "5365",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1934935",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WILLIAMSPORT",
"identifier": "0017783920010",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "S3689",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID DUBOIS",
"identifier": "0017783920003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001778392",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID LEWISBURG",
"identifier": "0017783920002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "220491",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "768788",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "324858",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Vitreoretinal Associates, P.C.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.