THE RETINA GROUP OF WASHINGTON, PLLC
NPI 1720848708
Ophthalmology in Fairfax, VA

Active since March 19, 2024CLIA 49D2096417 · Waiver
8270 WILLOW OAKS CORPORATE DR FL 6, FAIRFAX, VA 22031(703) 698-9335(703) 207-0038 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Retina Group Of Washington, Pllc NPPES

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

THE RETINA GROUP OF WASHINGTON, PLLC (NPI 1720848708) is a healthcare organization registered as an ophthalmology in Fairfax, Virginia and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through September 28, 2027 and lists Steven A Madreperla, Owner/ceo, as its authorized official.

NPPES Registry Identity

NPI1720848708
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameTHE RETINA GROUP OF WASHINGTON, PLLC
Location Address8270 WILLOW OAKS CORPORATE DR FL 6Fairfax, VA 22031-4530
Mailing Address420 Mountain Ave Fl 4New Providence, NJ 07974-2736
Fax(703) 207-0038
Organization SubpartNo
Authorized OfficialSteven A MadreperlaOwner/ceo · (908) 458-8321
Enumeration DateMarch 19, 2024
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
NPI 1720848708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.

8270 WILLOW OAKS CORPORATE DR FL 6, Fairfax, VA 22031

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 49D2096417

The Retina Group Of Washington · Fairfax, VA
Active · expires Sep 28, 2027
CLIA Number49D2096417
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2025
Certificate Expiration DateSeptember 28, 2027
Laboratory DirectorAlexander L. Melamud
Laboratory Phone(703) 474-0842
Laboratory LocationThe Retina Group Of Washington8270 Willow Oaks Corporate Drive, Fairfax, VA 22031
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Ophthalmology (Retina Specialist)
8270 WILLOW OAKS CORPORATE DR FL 6
FAIRFAX, VA 22031
Ophthalmology (Retina Specialist)
8270 WILLOW OAKS CORPORATE DR FL 6
FAIRFAX, VA 22031
Ophthalmology
8270 WILLOW OAKS CORPORATE DR FL 6
FAIRFAX, VA 22031

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720848708, enumerated as an "organization" on March 19, 2024.

The provider is located at 8270 WILLOW OAKS CORPORATE DR FL 6 FAIRFAX, VA 22031 and the phone number is (703) 698-9335.

Ophthalmology with taxonomy code 207W00000X.