Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John E Thordsen Jr., MD

Individual provider Ophthalmology Physician · NPI 1073659769

John E Thordsen Jr., MD is an Ophthalmology in Raleigh, North Carolina. Graduated from Ponce School of Medicine in 1997, 29 years ago. Practices with Retina Associates, PLLC, an 18-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
29
Trained at
Ponce School of Medicine
Licensed in
NC
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4414 Lake Boone Trl Ste 302
Raleigh, NC 27607-7514
Phone: (197) 828-0389
Fax: (919) 782-8189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X · Licence 2011-00308 (NC)
Ophthalmology Physician Taxonomy 207W00000X · Licence 2011-00308 (NC)

Record details

NPI number1073659769
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESSeptember 24, 2020
Certification dateSeptember 24, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Retina Associates, Pllc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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