Organization
THE RETINA GROUP OF WASHINGTON, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HASTIE (VP, CREDENTIALING & PAYER RELATIONS)
(214) 415-9671
Entity
Organization
Contact information
Practice address
2800 SHIRLINGTON RD STE 801, ARLINGTON, VA 22206
(703) 842-9455
Mailing address
420 MOUNTAIN AVE FL 4, NEW PROVIDENCE, NJ 07974-2736
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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