Retina Vitreous Associates Inc

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA VITREOUS ASSOCIATES INC

Practice address

2865 N Reynolds Rd
Suite 230
Toledo, OH 43615-2068

Phone

(419) 578-4367

Fax

(419) 537-5639

NPI assigned

Feb 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lynda M Kalucki

Title

Administrator

Phone

(419) 517-6599

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Michael Elchinger, OD

  • Optometrist
  • Toledo, OH
  • NPI 1629505581
  NPD (past)
• James A Knupp, MD

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1548211774
  NPD (past)
• Khalil A Raffoul, M.D.

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1407851736
  NPD (past)
• Christina Pacio Tam, M.D.

  • Ophthalmology Physician
  • Toledo, OH
  • NPI 1205871787
  NPD (past)
• Kevin Lee Alexander, OD PHD

  • Optometrist
  • Big Rapids, MI
  • NPI 1144241969
  NPD (past)
• Neil Patrick Finnen, MD

  • Ophthalmology Physician
  • Carmel, IN
  • NPI 1225014848
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1922073030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6591 W CENTRAL AVE",
            "address_2": "SUITE 202",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171087",
            "telephone_number": "419-517-6599",
            "fax_number": "419-517-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 N REYNOLDS RD",
            "address_2": "SUITE 230",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152068",
            "telephone_number": "419-578-4367",
            "fax_number": "419-537-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA VITREOUS ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "KALUCKI",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "419-517-6599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0384936",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbra Janis Restorick, N.P.
• Barbara Anne Reszko, LISW-S
• Rethinking the Process, LLC
• Rethinking the Process, LLC
• Retina Consultants of Northwest Ohio
• Adam Rettig, MD
• Janice R Rettig, RN
• Nina N. Rettig, PA-C
• Holly Revel-Hough, MSW, LISW
• Revelation4F LLC

• Retina Specialist (Ophthalmology) Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Retina Specialist (Ophthalmology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.