Retina Consultants, PLLC
NPI 1902800758ActiveOrganization· Ophthalmology, Retina Specialist· Charleston, WV
Ophthalmology, Retina Specialist in Charleston, West Virginia, registered in NPPES in June 2005. The authorized official on file is Robert Frank Dundervill, MD, Managing Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902800758 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 9, 2005 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | May 6, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology, Retina Specialist Primary | 207WX0107X | — | WV |
| Ophthalmology | 207W00000X | 002 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WV) |
|---|
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