RETINOVITREOUS ASSOCIATES LTD NPI 1659326452

NPI Information

  • NPI: 1659326452
  • Provider Name: RETINOVITREOUS ASSOCIATES LTD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • CLIA Number: 39D1069953
  • Address: 4060 BUTLER PIKE
    SUITE 200
    PLYMOUTH MEETING, PA
    ZIP 19462
  • Phone: (800) 331-6634

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NPI Details

RETINOVITREOUS ASSOCIATES LTD is an ophthalmology in Plymouth Meeting, PA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. RETINOVITREOUS ASSOCIATES LTD NPI is 1659326452. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4060 BUTLER PIKE
SUITE 200
PLYMOUTH MEETING, PA
ZIP 19462-560
Phone: (800) 331-6634
Fax: (267) 420-1362

The provider's authorized official is Courtney Sheppard .
The authorized official title is Cao/cfo and has the following contact phone number (800) 331-6634.

The CLIA number assigned to this NPI record is 39D1069953 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 6/26/2025.

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
1207WX0107XOphthalmologyRetina SpecialistNo
2207W00000XOphthalmologyYes

What is NPI?

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

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