NPI 1275783235 · live from the CMS NPI Registry
Advanced Retina Center, Lc
Ophthalmology, Retina Specialist in Vienna, VA. National Provider Identifier 1275783235, active.
NPI record
| NPI | 1275783235 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Retina Specialist 207WX0107X |
| Practice location | 1945 Old Gallows Rd Ste 720, Vienna, VA 22182 |
| Practice phone | 703-917-0012 |
| Enumerated | September 26, 2008 |
| Last updated | August 25, 2026 |
| Authorized official | Jung Woo, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Retina Specialist primary | 207WX0107X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.