RETINA VITREOUS ASSOCIATES INC NPI 1922073030

NPI Information

RETINA VITREOUS ASSOCIATES INC is a retina specialist ophthalmology in Toledo, OH. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA VITREOUS ASSOCIATES INC NPI is 1922073030. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2865 N REYNOLDS RD
SUITE 230
TOLEDO, OH
ZIP 43615-068
Phone: (419) 578-4367
Fax: (419) 537-5639

The provider's authorized official is Lynda M Kalucki .
The authorized official title is Administrator and has the following contact phone number (419) 517-6599.

The CLIA number assigned to this NPI record is 36D2117395 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 4/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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