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RETINA CONSULTANTS, PLLC
NPI 1902800758
Ophthalmology - Retina Specialist in Charleston, WV

Active since June 09, 2005CLIA 51D2337894 · Waiver
331 LAIDLEY ST, STE 301, CHARLESTON, WV 25301(304) 346-4400(304) 346-0704 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, May 6, 2021, Dec 12, 2017 (3 updates tracked since 2017).

About Retina Consultants, Pllc NPPES

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

RETINA CONSULTANTS, PLLC (NPI 1902800758) is a healthcare organization registered as a retina specialist in Charleston, West Virginia and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through February 1, 2028 and lists Robert Frank Dundervill, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1902800758
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA CONSULTANTS, PLLC
Location Address331 LAIDLEY ST, STE 301Charleston, WV 25301-1605
Mailing AddressPo Box 3970Charleston, WV 25339-3970 · (304) 346-4400 · Fax (304) 346-0704
Phone(304) 346-4400
Fax(304) 346-0704
Organization SubpartNo
Authorized OfficialRobert Frank DundervillManaging Partner · (304) 346-4400
Enumeration DateJune 9, 2005
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMay 6, 2021
✔ NPI 1902800758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 002 (WV)
331 LAIDLEY ST, Charleston, WV 25301
Open in Google Maps ↗

Other Identifiers 3

Medicaid0939668OH
Medicaid65927964KY
Medicaid0008255000WV

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 51D2337894

Retina Consultants, PLLC · Charleston, WV
Active · expires Feb 1, 2028
CLIA Number51D2337894
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorDr. Scott C. Jamerson
Laboratory Phone(304) 346-4400
Laboratory LocationRetina Consultants, PLLC331 Laidley Street, Suite 301, Charleston, WV 25301
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 20

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

CARDIAC IMAGING CENTER, PLLC.
Physiological Laboratory
331 LAIDLEY ST, SUITE 402
CHARLESTON, WV 25301
Kanawha County (304) 419-0395
FRANK J TRUPO MD
Specialist
331 LAIDLEY ST, SUITE 510
CHARLESTON, WV 25301
Kanawha County (304) 346-4444
CHARLESTON HEART CLINIC, INC.
Specialist
331 LAIDLEY ST, SUITE 406
CHARLESTON, WV 25301
Kanawha County (304) 344-0186
MILDRED C DURANT CRNA
Nurse Anesthetist, Certified Registered
331 LAIDLEY ST, SUITE 606
CHARLESTON, WV 25301
Kanawha County (304) 344-0096
CARRIE A LAKIN DPM INC
Podiatrist
331 LAIDLEY ST, SUITE 602
CHARLESTON, WV 25301
Kanawha County (304) 347-3668
ANTHONY P. DASARO, MD, PLLC
Internal Medicine
331 LAIDLEY ST, SUITE 307
CHARLESTON, WV 25301
Kanawha County (304) 205-7790
KRISTEN D SHAMBLIN FNP-BC
Nurse Practitioner (Family)
331 LAIDLEY ST
CHARLESTON, WV 25301
Kanawha County (304) 720-7234
CHARLESTON CARDIOVASCULAR
Internal Medicine (Cardiovascular Disease)
331 LAIDLEY ST, SUITE 402
CHARLESTON, WV 25301
Kanawha County (304) 792-6275

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 Retina Consultants, PLLC's NPI number?

The NPI number for Retina Consultants, PLLC is 1902800758. It was assigned to this organization in the NPPES registry on June 9, 2005.

Where is Retina Consultants, PLLC located?

Retina Consultants, PLLC is located at 331 Laidley St Ste 301, Charleston, WV 25301. The listed phone number is (304) 346-4400.

What is Retina Consultants, PLLC's specialty?

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

Does Retina Consultants, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2337894) is associated with this NPI, valid through February 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Retina Consultants, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Retina Consultants, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Retina Consultants, PLLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.