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ADVANCED RETINA CENTER, LC
NPI 1275783235
Ophthalmology - Retina Specialist in Vienna, VA

Active since September 26, 2008
1945 OLD GALLOWS RD STE 720, VIENNA, VA 22182(703) 917-0012(703) 917-0028 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2026, Sep 1, 2023, Nov 20, 2019 (3 updates tracked since 2019).

About Advanced Retina Center, Lc NPPES

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

ADVANCED RETINA CENTER, LC (NPI 1275783235) is a healthcare organization registered as a retina specialist in Vienna, Virginia and active in the NPI registry since September 2008. The organization maintains 2 additional practice locations and lists Jung John Woo, President, as its authorized official.

NPPES Registry Identity

NPI1275783235
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameADVANCED RETINA CENTER, LC
Location Address1945 OLD GALLOWS RD STE 720Vienna, VA 22182-3983
Mailing Address1945 Old Gallows Rd Ste 720Vienna, VA 22182-3983 · (703) 917-0012 · Fax (703) 917-0028
Phone(703) 917-0012
Fax(703) 917-0028
Organization SubpartNo
Authorized OfficialJung John WooPresident · (703) 917-0012
Enumeration DateSeptember 26, 2008
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1275783235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
1945 OLD GALLOWS RD STE 720, Vienna, VA 22182
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Secondary Practice Locations 2

Location 110440 Balls Ford Rd Ste 180Manassas, VA 20109-2502 · Phone (703) 368-3333 · Fax (703) 917-0028
Location 25400 Shawnee Rd Ste 205Alexandria, VA 22312-2300 · Phone (703) 333-3044 · Fax (703) 917-0028

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Retina Center, Lc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Retina Center, Lc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Jung Woo, M.D.
Ophthalmology
NPI 1437214525
1945 OLD GALLOWS RD STE 720
Vienna, VA 22182
(703) 917-0012
✔ PECOS✔ Accepts MedicareSame address
Nishi Gulati, M.D.
Ophthalmology
NPI 1629203625
8233 OLD COURTHOUSE RD STE 300
Vienna, VA 22182
(703) 917-0012
✔ PECOS✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Advanced Retina Center, Lc's NPI number?

The NPI number for Advanced Retina Center, Lc is 1275783235. It was assigned to this organization in the NPPES registry on September 26, 2008.

Where is Advanced Retina Center, Lc located?

Advanced Retina Center, Lc is located at 1945 Old Gallows Rd Ste 720, Vienna, VA 22182. The listed phone number is (703) 917-0012.

What is Advanced Retina Center, Lc's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Advanced Retina Center, Lc enrolled in Medicare?

Yes. Advanced Retina Center, Lc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Retina Center, Lc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Advanced Retina Center, Lc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Retina Center, Lc was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.