RETINA VITREOUS CENTER OF DELAWARE P.A. (NPI# 1043230253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043230253 |
| Entity Type | Organization |
| Organization Name | RETINA VITREOUS CENTER OF DELAWARE P.A. |
| Practice Address |
4514 Kirkwood Hwy Wilmington DE 19808-5118 |
| Mailing Address |
103 Chesapeake Blvd Suite C Elkton MD 21921-6313 |
| Practice Telephone | 3029930722 |
| Practice Fax Number | 3029930754 |
| Mailing Telephone | 4103924976 |
| Mailing Fax Number | 4103924958 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LEO SANTAMARINA (OWNER) |
| Authorized Official Telephone | 4103924976 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | D0062427 | MD | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | C10005728 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1000039342 | 05 |
| Street Address |
4514 KIRKWOOD HWY |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19808-5118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083910558 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4514 Kirkwood Hwy, Wilmington, DE 19808-5118 | 2011-02-01 |
| 1669650560 | Michael Brosman M.d., LLC | Ophthalmology | 4514 Kirkwood Hwy, Wilmington, DE 19808-5118 | 2008-02-04 |
| 1851455265 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 4514 Kirkwood Hwy, Wilmington, DE 19808-5118 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800562 | Chukwufumnanya Judith Ojo | Nurse Practitioner | 5233 W Woodmill Dr., Suite 46, Wilmington, DE 19808 | 2020-08-06 |
| 1609496124 | Doko Medical Inc. | Psychologist | 3422 Old Capitol Trail, # 626, Wilmington, DE 19808 | 2020-04-24 |
| 1861045544 | Terry Lea Ramsey | Social Worker | 5234 W. Woodmill Drive, Unit 46, Wilmington, DE 19808 | 2019-07-22 |
| 1699266387 | Brandywine Podiatry, Pa | Durable Medical Equipment & Medical Supplies | 5311 Limestone Rd Ste 200, Stoney Batter II, Wilmington, DE 19808 | 2018-05-29 |
| 1225551948 | Donald Lambert IIi | Massage Therapist | 1900 Newport Gap Pike, Wilmington, DE 19808 | 2017-07-25 |
| 1952830374 | Rachelle Najula Mclellan | Physical Therapist | 2215 Saint Francis St, Wilmington, DE 19808 | 2017-06-08 |
| 1477087401 | Rca Outpatient Services LLC | Clinic/Center | Recovery Centers of America At Delaware, 2383 Limestone Road, Wilmington, DE 19808 | 2017-04-17 |
| 1922557727 | Legacy Treatment Services | Community/Behavioral Health | 5602 Kirkwood Highway, Wilmington, DE 19808 | 2016-09-22 |
| 1235590993 | Jingbo Sun | Pharmacist | 1308 Centerville Rd., Wilmington, DE 19808 | 2016-03-09 |
| 1316321599 | Wayne Kevin Pansa Jr. | Social Worker | 5205 W Woodmill Dr Ste 33, Wilmington, DE 19808 | 2015-07-16 |
| Find all providers in zip 19808 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263566 | Center for Advanced Eye Care | Ophthalmology | 5301 Limestone Rd Ste 122, Wilmington, DE 19808-1251 | 2020-04-07 |
| 1205249539 | Ochsner Eye, Pa | Ophthalmology | 700 Military Cutoff Rd, Suite 202, Wilmington, NC 28405-8380 | 2014-06-04 |
| 1386994259 | John Wahl | Ophthalmology | 1904 Dorcas Ln, Wilmington, DE 19806-1164 | 2012-09-18 |
| 1669784849 | John Mcinnes | Ophthalmology | 424 Marianna Dr, Wilmington, DE 19803-1815 | 2010-07-05 |
| 1548406242 | David C Larned Md Pa | Ophthalmology | 2300 Pennsylvania Ave Ste 3a, Wilmington, DE 19806-1379 | 2008-12-30 |
| 1457513640 | Stephen Hein | Ophthalmology | 3039 W State Route 73, Wilmington, OH 45177-9287 | 2008-06-28 |
| 1174797666 | Carolina Glaucoma Pa | Ophthalmology | 1907 S 17th St Ste 3, Wilmington, NC 28401-6656 | 2008-04-16 |
| 1306937768 | Kathleen C Leone | Ophthalmology | 1729 New Hanover Medical Park Drive, Wilmington, NC 28403 | 2006-09-28 |
| 1306945795 | Frederick Clarence Butler Jr. | Ophthalmology | 3749 Reston Ct, Wilmington, NC 28403-6170 | 2006-09-21 |
| 1821107772 | Mary Elizabeth Price | Ophthalmology | 1907 S 17th Street, Suite 3, Wilmington, NC 28401-6656 | 2006-08-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19808 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.