Active NPI
Retina Associates of Greater Phila., LTD
- Ophthalmology Physician
- North Wales, PA
National Provider Identifier
1336181601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Retina Specialist (Ophthalmology) Physician
- King of Prussia, PA
- NPI 1518017276
-
- Retina Specialist (Ophthalmology) Physician
- North Wales, PA
- NPI 1063408987
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.