| Organization Name: | OPHTHALMOLOGY AND RETINA ASSOCIATES, LLC |
| NPI Number: | 1205292463 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NIMA TIRGAN (OPHTHALMOLOGIST) |
| Mailing Address: | 1150 7th St Suite 3 Waynesburg |
| State: | PA US |
| Postal Code: | 153701660 |
| Phone Number: | 7248523008 |
| Fax Number: | |
| NPI Enumeration Date: | 01/04/2016 |
| NPI Last Update Date: | 02/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | MD454412 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |