Retina & Vitreous Center PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101039260 Issued in VA

Legal business name

RETINA & VITREOUS CENTER PC

Practice address

6160 Kempsville Cir Ste 120B
Norfolk, VA 23502-3933

Phone

(757) 481-4400

Fax

(757) 481-1285

NPI assigned

Oct 22, 2006

Organization subpart

No

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

Authorized official

Name

Alan L. Wagner, M.D.NPI 1295719631

Title

President

Phone

(757) 481-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wagner Kapoor Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in VA, NC2 enrollments

Enrollment records 2

Locations

Interoperability endpoints

• Direct secure messaging: acosten@wmrc.intellechartdirect.net
• Direct secure messaging: nsarvella@wmrc.intellechartdirect.net
• Direct secure messaging: hbernstein@wmrc.intellechartdirect.net
• Direct secure messaging: aaldabbagh@wmrc.intellechartdirect.net
• Direct secure messaging: eberger@wmrc.intellechartdirect.net

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Wagner Kapoor Research Institute LLC

  • Research Study Specialist
  • Norfolk, VA
  • NPI 1881386654
  NPPES parent name

Practitioners 16

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

• Alan Lewis Wagner, MD

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1295719631

  NC

  Medicare reassignment Care Compare group NPD Authorized official
• Alaa Al-Dabbagh, MD

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1154993905
  Medicare reassignment Care Compare group NPD
• Evan M Berger

  • Retina Specialist (Ophthalmology) Physician
  • Norfolk, VA
  • NPI 1356769731

  NC

  Medicare reassignment Care Compare group NPD
• Harold Adam Bernstein, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Norfolk, VA
  • NPI 1215921994
  Medicare reassignment Care Compare group NPD
• Kapil Gopal Kapoor, MD

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1093906281

  NC

  Medicare reassignment Care Compare group NPD
• Arielle Dolores Costen

  • Physician Assistant
  • Norfolk, VA
  • NPI 1376362285
  Medicare reassignment Care Compare group
• Jessica Dionne Randolph, MD

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1447487301
  Medicare reassignment Care Compare group
• Nicholas Alexander Sarvella, PA-C

  • Physician Assistant
  • Norfolk, VA
  • NPI 1427880673
  Medicare reassignment Care Compare group
• Elizabeth Kendall Gaskill, P.A.

  • Physician Assistant
  • Virginia Beach, VA
  • NPI 1033399654
  Medicare reassignment
• Amelia Jo Raunswinter, PA-C

  • Physician Assistant
  • Virginia Beach, VA
  • NPI 1831650266

  NC

  Medicare reassignment
• Quentin Franklin, M.D.

  • Ophthalmology Physician
  • Norfolk, VA
  • NPI 1639131972
  NPD
• Ian Chauncey Uber, M.D.

  • Ophthalmology Physician
  • Portsmouth, VA
  • NPI 1891016796
  NPD

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1639252000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 250B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-481-4400",
            "fax_number": "757-481-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 120B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023933",
            "telephone_number": "757-481-4400",
            "fax_number": "757-481-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA & VITREOUS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-481-4400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101039260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006396097",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wagner Kapoor Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.