KEYSTONE RETINA PLLC NPI 1598571119

NPI Information

NPI: 1598571119
Provider Name: KEYSTONE RETINA, PLLC
Classification: Ophthalmology - 207WX0107X
Specialization: Retina Specialist
Entity Type: Organization
Address: 850 WALNUT BOTTOM RD STE 105
CARLISLE, PA
ZIP 17013
Phone: (717) 319-0546

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NPI Details

KEYSTONE RETINA, PLLC is a retina specialist ophthalmology in Carlisle, PA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. KEYSTONE RETINA, PLLC NPI is 1598571119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

850 WALNUT BOTTOM RD STE 105
CARLISLE, PA
ZIP 17013-615
Phone: (717) 319-0546

The provider's authorized official is Bradford Sgrignoli .
The authorized official title is Founder/president and has the following contact phone number (717) 319-0546.

The enumeration date for this NPI number is 12/9/2024 and was last updated on 12/9/2024.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207WX0107X	Ophthalmology	Retina Specialist			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	OS017847	OTHER	PENNSYLVANIA	PENNSYLVANIA MEDICAL LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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