Provider Demographics
NPI:1770993081
Name:VIRGINIA RETINA CONSULTANTS, PLC
Entity type:Organization
Organization Name:VIRGINIA RETINA CONSULTANTS, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHIT
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:434-978-2040
Mailing Address - Street 1:540 LEW DEWITT BLVD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WAYNESBORO
Mailing Address - State:VA
Mailing Address - Zip Code:22980-1665
Mailing Address - Country:US
Mailing Address - Phone:540-949-9080
Mailing Address - Fax:540-949-5758
Practice Address - Street 1:540 LEW DEWITT BLVD
Practice Address - Street 2:SUITE 5
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-1665
Practice Address - Country:US
Practice Address - Phone:540-949-9080
Practice Address - Fax:540-949-5758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-08
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty