Provider Demographics
NPI:1659627602
Name:RETINA ORANGE COUNTY, INC.
Entity Type:Organization
Organization Name:RETINA ORANGE COUNTY, INC.
Other - Org Name:RETINAOC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VITREORETINAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:NURMOHAMED
Authorized Official - Last Name:VAIDYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-732-0201
Mailing Address - Street 1:16100 SAND CANYON AVE STE 385
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3720
Mailing Address - Country:US
Mailing Address - Phone:949-732-0201
Mailing Address - Fax:888-421-7757
Practice Address - Street 1:16100 SAND CANYON AVE STE 385
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3720
Practice Address - Country:US
Practice Address - Phone:949-732-0201
Practice Address - Fax:888-421-7757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty