Organization Active NPI

Retina Associates, PC

  • Retina Specialist (Ophthalmology) Physician
  • Winchester, VA
National Provider Identifier
1750477188
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
RETINA ASSOCIATES, PC
Practice address
190 Campus Blvd Ste 320
Winchester, VA 22601-2872
Phone
(540) 722-3500
Fax
(540) 722-3536
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Crystal Waugh
Title
Office Manager
Phone
(540) 722-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

190 Campus Blvd Ste 320
Winchester, VA 22601-2872

Mailing address

190 Campus Blvd Ste 320
Winchester, VA 22601-2872
Phone (540) 722-3500

Other practice location 1

115 W Spring St
Woodstock, VA 22664-1240
Phone (540) 722-3500

Other practice location 2

1008 Tavern Rd Ste 203
Martinsburg, WV 25401-2801
Phone (540) 722-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040803000231 VA Part B Supplier - Clinic/Group Practice 0547231805 Receives reassigned benefits from 6 practitioners
Practice locations: Winchester, VA; Woodstock, VA
O20230828000661 WV Part B Supplier - Clinic/Group Practice 0547231805 Receives reassigned benefits from 6 practitioners
Practice locations: Martinsburg, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2316294Retina Associates, PC190 Campus Blvd, Suite 320, Winchester, VA 22601Certificate of waiverJan 1, 2027

National Provider Directory

National Provider Directory

Locations

925 Seton Dr
#G
Cumberland, MD 21502
Phone (540) 722-3500

190 Campus Blvd
Ste 320
Winchester, VA 22601
Phone (540) 722-3500

115 W Spring St
Woodstock, VA 22664
Phone (540) 722-3500

1008 Tavern Rd
Ste 203
Martinsburg, WV 25401
Phone (540) 722-3500

Interoperability endpoints

  • Direct secure messaging: nkunjukunju@retinava.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 8

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1750477188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-722-3500",
            "fax_number": "540-722-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD STE 320",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-722-3500",
            "fax_number": "540-722-3536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "VA",
            "postal_code": "226641240",
            "country_code": "US",
            "telephone_number": "540-722-3500",
            "fax_number": "540-722-3536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Tavern Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254012801",
            "country_code": "US",
            "telephone_number": "540-722-3500",
            "fax_number": "540-722-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-722-3500"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.