Organization
RETINOVITREOUS ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY SHEPPARD (CAO/CFO)
(800) 331-6634
Entity
Organization
Contact information
Practice address
1523 CONCORD PIKE STE 101, WILMINGTON, DE 19803-3653
(302) 351-1087
(302) 351-1088
Mailing address
4060 BUTLER PIKE, SUITE 200, PLYMOUTH MEETING, PA 19462-1560
(800) 331-6634
(267) 420-1362
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Enumeration date
10/01/2008
Last updated
06/26/2025
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