Retinovitreous Associates, LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINOVITREOUS ASSOCIATES, LTD

Practice address

37 Medical Crossing Rd
Tamaqua, PA 18252-5565

Phone

(570) 386-5926

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Courtney Sheppard

Title

Cfo/Cap

Phone

(800) 331-6634

Specialties & licenses 1

Addresses

Other names 1

• Mid Atlantic Retina Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Retinovitreous Associates LTD

  • Ophthalmology Physician
  • Plymouth Meeting, PA
  • NPI 1659326452

  O20040608000300

  Same enrollment

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1770734451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 BUTLER PIKE STE 200",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621560",
            "telephone_number": "800-331-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 MEDICAL CROSSING RD",
            "city": "TAMAQUA",
            "state": "PA",
            "postal_code": "182525565",
            "telephone_number": "570-386-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINOVITREOUS ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "SHEPPARD",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CFO/CAP",
        "authorized_official_telephone_number": "800-331-6634"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Atlantic Retina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Shannon Clare Pirich, CRNP
• Wafa Qaiser, MD
• Kristina Renae Ramdial, MD
• Alexandra Rebuck, DO
• Richard Chwastiak
• Jeanette Richards, CRNP
• Meredith Rideout, MD
• Royal Homestar LLC
• Stephen Rozanski, PHARMD

• Ophthalmology Physician in Tamaqua, PA
• Providers in Tamaqua, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.