Organization
WEST VIRGINIA RETINA INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RUSSELL RICHARDSON MD (MEMBER)
(229) 402-5869
Entity
Organization
Contact information
Practice address
333 LAIDLEY ST STE 208, CHARLESTON, WV 25301-1614
(304) 935-0014
Mailing address
PO BOX 70100, CHARLESTON, WV 25301-0100
(229) 402-5869
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
12/03/2025
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