Retina Institute of Virginia PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA INSTITUTE OF VIRGINIA PLLC

Practice address

8720 Stony Point Pkwy Ste 105
Richmond, VA 23235-1989

Phone

(804) 644-7478

Fax

(804) 644-8224

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Allison Leigh Veditz

Title

Administrator

Phone

(804) 644-7478

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/mi-riv

Practitioners 17

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

• Juan Antonio Astruc Jr., M.D.

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1477515237

  Ophthalmology, VA

  Medicare reassignment NPD
• Thomas Lee Jenkins, MD

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1114345634

  Ophthalmology, VA

  Medicare reassignment NPD
• John Stewart O'Keefe, M.D.

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1073576377

  Ophthalmology, VA

  Medicare reassignment NPD
• Bryan Schwent, M.D.

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1760494835

  Ophthalmology, VA

  Medicare reassignment NPD
• Ali Reza Tabassian, M.D., PH.D.

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1679535538

  Ophthalmology, VA

  Medicare reassignment NPD
• Jan R Barklund, O.D.

  • Optometrist
  • Culpeper, VA
  • NPI 1679550826
  NPD (past)
• Bradley W. Church, O.D.

  • Optometrist
  • Culpeper, VA
  • NPI 1790762821
  NPD (past)
• William P. Coleman, M.D.

  • Ophthalmology Physician
  • Fredericksburg, VA
  • NPI 1932187622

  Ophthalmology

  NPD (past)
• Gary R Cook, M.D.

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1346286630

  Ophthalmology

  NPD (past)
• Anthony Bardia Kouchak, OD

  • Optometrist
  • Falls Church, VA
  • NPI 1518044924
  NPD (past)
• John C. McGuire III, O.D.

  • Optometrist
  • Locust Grove, VA
  • NPI 1972580017
  NPD (past)
• Rebecca A O'Bryan, OTR

  • Occupational Therapist
  • Fredericksburg, VA
  • NPI 1184678385
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1306808167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8720 STONY POINT PKWY STE 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351989",
            "telephone_number": "804-644-7478",
            "fax_number": "804-644-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 STONY POINT PKWY STE 105",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232351989",
            "telephone_number": "804-644-7478",
            "fax_number": "804-644-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA INSTITUTE OF VIRGINIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "VEDITZ",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-644-7478"
    },
    "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": "PTAN",
            "identifier": "C06643",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Restore Health Supplies LLC
• Restored Pathways Foundation
• Restoring Youth Alternatives
• Kelly Reszka, LCSW
• Sheldon M. Retchin, M.D.
• Retina Vitreous Consultants
• Retreat Cardiology LLC
• Retreat Cardiology LLC
• Retreat Hospital
• Retreat Hospital, Inc.

• Ophthalmology Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.