Four States Retina PLLC
NPI 1083580815 · Retina Specialist (Ophthalmology) Physician · Texarkana, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Four States Retina PLLC is a Retina Specialist (Ophthalmology) Physician organization in Texarkana, TX (NPI 1083580815).
Provider details
- NPI number
- 1083580815
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roshan George, Owner(903) 204-7642
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-17
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Frequently asked questions
- What is Four States Retina PLLC's NPI number?
- Four States Retina PLLC's National Provider Identifier (NPI) is 1083580815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four States Retina PLLC?
- Four States Retina PLLC is classified in the NPPES registry as Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Four States Retina PLLC located?
- Four States Retina PLLC's practice location on file with NPPES is 5501 Medical Parkway Dr, Texarkana, TX 75503-4624.
- What is Four States Retina PLLC's phone number?
- The practice phone number listed in the NPPES registry for Four States Retina PLLC is (804) 647-2381.
- Does Four States Retina PLLC accept Medicare?
- Four States Retina PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Four States Retina PLLC?
- The authorized official listed on Four States Retina PLLC's NPPES record is Roshan George, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four States Retina PLLC's NPI active?
- Yes — Four States Retina PLLC's NPI (1083580815) is active in the NPPES registry as of the last update on 2026-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.