Retina Specialists PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA SPECIALISTS PLLC

Practice address

527 Medical Park Dr Ste 205
Bridgeport, WV 26330-9009

Phone

(304) 933-3860

Fax

(304) 933-3861

NPI assigned

Jul 5, 2007

Last updated

Oct 22, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. George Condax, M.D.

Title

President

Phone

(304) 685-1207

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• Direct secure messaging: gcondax@wvretinaspecialists.intellechartdirect.net

Practitioners 3

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.

• Gary Bergman, M.D.

  • Obstetrics & Gynecology Physician
  • Allison Park, PA
  • NPI 1356448971
  NPD (past)
• Robin McGuire, D.O.

  • Obstetrics & Gynecology Physician
  • Allison Park, PA
  • NPI 1518064138
  NPD (past)
• Joseph Qureshi, M.D.

  • Ophthalmology Physician
  • Laurel, MD
  • NPI 1992971519
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540166400000",
    "number": "1902004427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR STE 205",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309009",
            "telephone_number": "304-685-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 MEDICAL PARK DR STE 205",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309009",
            "telephone_number": "304-933-3860",
            "fax_number": "304-933-3861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Liberty Ave",
            "address_2": "Suite 141",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152242156",
            "country_code": "US",
            "telephone_number": "412-687-1312",
            "fax_number": "412-578-1165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2018-10-22",
        "status": "A",
        "authorized_official_last_name": "CONDAX",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-685-1207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brittany Ann Rhoades, OT/L
• Elizabeth Anne Rice
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• Kearstyn Richards
• Stephanie J Richards, AU.D.

• Ophthalmology Physician in Bridgeport, WV
• Providers in Bridgeport, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.