Total Retina Llc
LBN: Total Retina Llc
Total Retina Llc is an health care organization with primary practice located at 6115 Falls Rd Suite 300, Baltimore MD 21209-2219. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Total Retina Llc can be contacted via phone (410) 377-9004, or through Wong, Randall V via phone (410) 377-9004.
Contact Information
Primary practice address
6115 Falls Rd Suite 300
Baltimore MD 21209-2219
Phone: (410) 377-9004
Fax: (410) 377-8221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0041207 | Maryland |
Profile Details
| NPI number | 1063526713 |
|---|---|
| LBN Legal business name | Total Retina Llc |
| DBA Doing business as | |
| Authorized official | Wong, Randall V Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jun 27th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063526713 | NPPES |
| Maryland | MEDICAID | 497691600 |
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