| NPI | 1770734451 | 
|---|---|
| Doing Business As | MID ATLANTIC RETINA | 
| Entity Type | Organization | 
| Authorized Contact | COURTNEY SHEPPARD CFO/Cap 800-331-6634 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology | 
| Enumeration Date | 2008-10-01 | 
| Last Update Date | 2025-06-26 |