Organization Active NPI

Retina Associates of Greater Phila., LTD

  • Ophthalmology Physician
  • North Wales, PA
National Provider Identifier
1336181601
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA ASSOCIATES OF GREATER PHILA., LTD
Practice address
124 Dekalb Pike
North Wales, PA 19454-1853
Phone
(215) 699-7600
Fax
(215) 699-8867
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Mrs. Eileen Susan Rymdeika
Title
Billing Manager
Phone
(215) 699-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

124 Dekalb Pike
North Wales, PA 19454-1853

Mailing address

124 Dekalb Pike
North Wales, PA 19454-1853
Phone (215) 699-7600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706001221 PA Part B Supplier - Clinic/Group Practice 9537146659 Receives reassigned benefits from 2 practitioners
Practice locations: King of Prussia, PA; North Wales, PA

National Provider Directory

National Provider Directory

Locations

1013 W 9th Ave
King of Prussia, PA 19406

124 DeKalb Pike
Ste A
North Wales, PA 19454

124 DeKalb Pike
Ste 1
North Wales, PA 19454
Phone (215) 699-7600

Practitioners & affiliated clinicians

Practitioners 2

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": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1336181601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 DEKALB PIKE",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541853",
            "telephone_number": "215-699-7600",
            "fax_number": "215-699-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 DEKALB PIKE",
            "city": "NORTH WALES",
            "state": "PA",
            "postal_code": "194541853",
            "telephone_number": "215-699-7600",
            "fax_number": "215-699-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF GREATER PHILA., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "RYMDEIKA",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "215-699-7600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wales, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.