Organization Active NPI

The Woodlands Retina Center, PA

  • Ophthalmology Physician
  • The Woodlands, TX
National Provider Identifier
1659559748
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L6747 Issued in TX
Legal business name
THE WOODLANDS RETINA CENTER, PA
Practice address
1001 Medical Plaza Dr
Suite 240
The Woodlands, TX 77380-3241
Phone
(281) 367-9700
Fax
(281) 367-9701
NPI assigned
Jan 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Wael M. Abdelghani, M.D.NPI 1508837915
Title
President
Phone
(281) 367-9700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X L6747 TX Primary

Addresses

Primary practice location

1001 Medical Plaza Dr
Suite 240
The Woodlands, TX 77380-3241

Mailing address

1001 Medical Plaza Dr
Suite 240
The Woodlands, TX 77380-3241
Phone (281) 367-9700

Other identifiers 1

IdentifierTypeStateIssuer
L6747OtherTXMEDICAL LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080407000725 TX Part B Supplier - Clinic/Group Practice 2567549181 Receives reassigned benefits from 1 practitioner
Practice locations: The Woodlands, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1659559748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PLAZA DR",
            "address_2": "SUITE 240",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803241",
            "telephone_number": "281-367-9700",
            "fax_number": "281-367-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MEDICAL PLAZA DR",
            "address_2": "SUITE 240",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803241",
            "telephone_number": "281-367-9700",
            "fax_number": "281-367-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOODLANDS RETINA CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "ABDELGHANI",
        "authorized_official_first_name": "WAEL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-367-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L6747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "L6747",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.