FOUR STATES RETINA PLLC
NPI 1083580815
Ophthalmology - Retina Specialist in Texarkana, TX
NPI Status: Active since October 17, 2025
Contact Information
5501 MEDICAL PARKWAY DR
TEXARKANA, TX
ZIP 75503
Phone: (804) 647-2381
Fax: (903) 204-7745
- Organization
- Ophthalmology
- Retina Specialist
About FOUR STATES RETINA PLLC
This page provides the complete NPI Profile along with additional information for Four States Retina Pllc, a provider established in Texarkana, Texas operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1083580815 assigned on October 2025. The practitioner's primary taxonomy code is 207WX0107X. The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Roshan George Md (Owner)
- NPI
- 1083580815
- Provider Name
- FOUR STATES RETINA PLLC
- Entity Type
- Organization
- Location Address
- 5501 MEDICAL PARKWAY DR TEXARKANA, TX 75503
- Location Phone
- (804) 647-2381
- Location Fax
- (903) 204-7745
- Mailing Address
- 5501 MEDICAL PARKWAY DR TEXARKANA, TX 75503
- Mailing Phone
- (903) 204-7642
- Mailing Fax
- (903) 204-7745
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-17-2025
- Last Update Date
- 02-19-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Reviews for FOUR STATES RETINA PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083580815, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
TEXARKANA, TX 75503
TEXARKANA, TX 75503
TEXARKANA, TX 75503
TEXARKANA, TX 75503
TEXARKANA, TX 75503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083580815, enumerated as an "organization" on October 17, 2025.
The provider is located at 5501 MEDICAL PARKWAY DR TEXARKANA, TX 75503 and the phone number is (804) 647-2381.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
