Organization
RETINA GROUP OF PENNSYLVANIA, P.C.
Active
Organization
RETINA GROUP OF PENNSYLVANIA, P.C.
Active
Other names
Vitreoretinal Associates, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A LIGHTMAN MD (PRESIDENT)
(570) 321-0880
Entity
Organization
Contact information
Practice address
800 W. FOURTH STREET, STE 104, WILLIAMSPORT, PA 17701-7200
(570) 321-0880
(570) 321-8012
Mailing address
800 W. FOURTH STREET, STE 104, WILLIAMSPORT, PA 17701-7200
(570) 321-0880
(570) 321-8012
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005589714
AETNA
PA
05
—
001778392
—
PA
01
—
0017783920002
MEDICAID LEWISBURG
PA
01
—
0017783920003
MEDICAID MUNCY
PA
01
—
0017783920010
MEDICAID WILLIAMSPORT
PA
01
—
1934935
UNITED HEALTHCARE
PA
01
—
220491
FIRST PRIORITY HEALTH
PA
01
—
324858
HEALTH AMERICA
PA
01
—
5365
GEISINGER HEALTH PLAN
PA
01
—
768788
BCBS
PA
01
—
CG3379
RAILRAOD MEDICARE
PA
01
—
G68788
AMERIHEALTH ADMINISTRATOR
PA
01
—
S3689
EMPIRE BCBS
PA
Enumeration date
04/12/2006
Last updated
12/31/2009
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