Orellana Retina Associates PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ORELLANA RETINA ASSOCIATES PLLC

Practice address

3211 Rogers Rd
Suite 101
Wake Forest, NC 27587-3891

Phone

(919) 453-1462

Fax

(919) 453-1473

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Juan Orellana, M.D.NPI 1568428530

Title

Owner

Phone

(919) 453-1462

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan J Orellana, M.D.

  • Ophthalmology Physician
  • Richmond, VA
  • NPI 1568428530
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1780753244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 ROGERS RD",
            "address_2": "SUITE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873891",
            "telephone_number": "919-453-1462",
            "fax_number": "919-453-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 ROGERS RD",
            "address_2": "SUITE 101",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873891",
            "telephone_number": "919-453-1462",
            "fax_number": "919-453-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORELLANA RETINA ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "ORELLANA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-453-1462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Erin Olney, LCPC, LPCC, LCMHC
• Sara Kate Olsen, PA-C
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• Juan Antonio Ortiz, MD
• Diane Osborne, OTR/L

• Ophthalmology Physician in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.