OrganizationActive
Retina Consultants, PLLC
NPI 1902800758 · Retina Specialist (Ophthalmology) Physician · Charleston, WV
Provider details
- NPI number
- 1902800758
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Robert Dundervill, Managing Partner(304) 346-4400
- License
- 002 (WV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
331 Laidley St
Ste 301
Charleston, WV 25301-1605
Phone: (304) 346-4400
Fax: (304) 346-0704
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3970
Charleston, WV 25339-3970
Registry dates
- Enumerated
- 2005-06-09
- Last updated
- 2022-07-21
- Certified
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.