Active NPI
Retina Consultants of Delmarva PA
- Ophthalmology Physician
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- RETINA CONSULTANTS OF DELMARVA PA
- Practice address
- 6511 Deer Pointe Drive
Salisbury, MD 21804 - Phone
- (410) 546-8037
- Fax
- (410) 546-8038
- NPI assigned
- May 24, 2006
- Last updated
- Dec 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Brown
- Title
- Office Manager
- Phone
- (410) 546-8037
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | NU |
Addresses
Primary practice location
6511 Deer Pointe Drive
Salisbury, MD 21804
Mailing address
6511 Deer Pointe Dr
Salisbury, MD 21804-1667
Phone (410) 546-8037
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000666302 | Medicaid | DE | |
| 149351500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2323086 | Retina Consultants of Delmarva | Certificate of waiver | Apr 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
1380 S State St
Dover, DE 19901
Phone (302) 674-8000
28417 DuPont Blvd
Millsboro, DE 19966
Phone (410) 546-8037
28322 Lewes Georgetown Hwy
Milton, DE 19968
Phone (302) 684-2020
8191 Ocean Gtwy
Easton, MD 21601
Phone (443) 849-2106
6511 Deer Pointe Dr
Salisbury, MD 21804
Phone (410) 546-8037
Interoperability endpoints
- tpeck@rcdelmarva.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 13
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.
-
- Ophthalmology Physician
- Salisbury, MD
- NPI 1770586752
-
- Optometrist
- Rehoboth Beach, DE
- NPI 1629001441
-
- Ophthalmology Physician
- Milton, DE
- NPI 1619969235
-
- Ophthalmology Physician
- Philadelphia, PA
- NPI 1316938970
-
- Optometrist
- Milton, DE
- NPI 1043048531
-
- Ophthalmology Physician
- Milford, DE
- NPI 1982921110
-
- Optometrist
- Milton, DE
- NPI 1912236761
-
- Optometrist
- Dover, DE
- NPI 1356573141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512950400000",
"number": "1972558971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6511 DEER POINTE DR",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218041667",
"telephone_number": "410-546-8037",
"fax_number": "410-546-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6511 DEER POINTE DRIVE",
"city": "SALISBURY",
"state": "MD",
"postal_code": "21804",
"telephone_number": "410-546-8037",
"fax_number": "410-546-8038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA CONSULTANTS OF DELMARVA PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2017-12-11",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "410-546-8037"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000666302",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149351500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; 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.