Organization
TOTAL RETINA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL V WONG MD (PRESIDENT)
(410) 377-9004
Entity
Organization
Contact information
Practice address
6115 FALLS RD, SUITE 300, BALTIMORE, MD 21209-2219
(410) 377-9004
(410) 377-8221
Mailing address
6115 FALLS RD, SUITE 300, BALTIMORE, MD 21209-2219
(410) 377-9004
(410) 377-8221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0041207
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
497691600
—
MD
Enumeration date
08/19/2006
Last updated
06/27/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up