VIRGINIA RETINA CENTER LLC
NPI 1093869976
Ophthalmology in Warrenton, VA

Active since January 22, 2007CLIA 49D2130787 · Waiver
45 N HILL DR STE 202, WARRENTON, VA 20186(540) 349-1882(703) 738-7157 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2025, Oct 23, 2018 (2 updates tracked since 2018).

About Virginia Retina Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIRGINIA RETINA CENTER LLC (NPI 1093869976) is a healthcare organization registered as an ophthalmology in Warrenton, Virginia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Joanne Mansour, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1093869976
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameVIRGINIA RETINA CENTER LLC
Location Address45 N HILL DR STE 202Warrenton, VA 20186-2677
Mailing Address45 N Hill Dr Ste 202Warrenton, VA 20186-2677 · (540) 349-1882 · Fax (703) 738-7157
Fax(703) 738-7157
Organization SubpartNo
Authorized OfficialJoanne MansourPractice Manager · (540) 349-1882
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 7, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2025
NPI 1093869976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in VA · 01011233782
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
45 N HILL DR STE 202, Warrenton, VA 20186

Other Identifiers 2

Medicaid010107024VA
Medicaid010107067VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2130787

Virginia Retina Center · Warrenton, VA
Active · expires May 16, 2027
CLIA Number49D2130787
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorSam E. Mansour
Laboratory Phone(540) 349-1882
Laboratory LocationVirginia Retina Center45 North Hill Drive - Suite 202, Warrenton, VA 20186
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
45 N HILL DR STE 202
WARRENTON, VA 20186
Ophthalmology (Retina Specialist)
45 N HILL DR STE 202
WARRENTON, VA 20186
Ophthalmology (Retina Specialist)
45 N HILL DR STE 202
WARRENTON, VA 20186
Ophthalmology
45 N HILL DR STE 202
WARRENTON, VA 20186
Nurse Practitioner (Family)
45 N HILL DR STE 202
WARRENTON, VA 20186
Ophthalmology
45 N HILL DR STE 202
WARRENTON, VA 20186

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Virginia Retina Center LLC's NPI number?

The NPI number for Virginia Retina Center LLC is 1093869976. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Virginia Retina Center LLC located?

Virginia Retina Center LLC is located at 45 N Hill Dr Ste 202, Warrenton, VA 20186. The listed phone number is (540) 349-1882.

What is Virginia Retina Center LLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Virginia Retina Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2130787) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Virginia Retina Center LLC was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.