RETINA CONSULTANTS, PLLC
NPI 1902800758
Ophthalmology - Retina Specialist in Charleston, WV
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
Specialties & Licenses 2
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Retina Consultants, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Retina Consultants, PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.
Clinicians, nearest first (8)
Rochester, NY 14642
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WVFrequently 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.
Is Retina Consultants, PLLC enrolled in Medicare?
Yes. Retina Consultants, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Retina Consultants, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina Consultants, PLLC. 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, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers 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.
# Retina Consultants, Pllc · NPI 1902800758
Retina Specialist organization in Charleston, West Virginia. Organization record, active in the CMS NPPES registry since June 9, 2005.
## Identity
- **NPI:** 1902800758 (Entity type: Organization)
- **Enumerated:** June 9, 2005
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Robert Dundervill, MANAGING PARTNER
## Practice location
- **Address:** 331 LAIDLEY ST, STE 301, Charleston, WV 25301-1605
- **Phone:** (304) 346-4400 · **Fax:** (304) 346-0704
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 6 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 0939668 (OH); Medicaid 65927964 (KY); Medicaid 0008255000 (WV)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902800758) · Data from the CMS NPPES public registry.