Ridley Creek Retina LLC
NPI 1417564592ActiveOrganization· Ophthalmology· Media, PA
Ophthalmology in Media, Pennsylvania, registered in NPPES in September 2020. The authorized official on file is Jason Lange, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417564592 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 23, 2020 |
| Last updated in NPPES | Dec 23, 2025 |
| Certified by provider | Dec 23, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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