RETINA CONSULTANTS PLLC NPI 1902800758

NPI Information

  • NPI: 1902800758
  • Provider Name: RETINA CONSULTANTS, PLLC
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Organization
  • Address: 331 LAIDLEY ST
    STE 301
    CHARLESTON, WV
    ZIP 25301
  • Phone: (304) 346-4400

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NPI Details

RETINA CONSULTANTS, PLLC is a retina specialist ophthalmology in Charleston, WV. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA CONSULTANTS, PLLC NPI is 1902800758. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

331 LAIDLEY ST
STE 301
CHARLESTON, WV
ZIP 25301-605
Phone: (304) 346-4400
Fax: (304) 346-0704

The provider's authorized official is Robert Frank Dundervill .
The authorized official title is Managing Partner and has the following contact phone number (304) 346-4400.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 7/21/2022.

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
1207W00000XOphthalmology002WEST VIRGINIANo
2207WX0107XOphthalmologyRetina SpecialistWEST VIRGINIAYes

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
10939668MEDICAIDOHIO
265927964MEDICAIDKENTUCKY
30008255000MEDICAIDWEST VIRGINIA

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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