ADVANCED RETINA S.C. – NPI #1063173128
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

ADVANCED RETINA S.C. is an ophthalmologist located in GREENFIELD, WI. NPPES has assigned the NPI number 1063173128 to ADVANCED RETINA S.C. on December 31, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was last updated on Jan 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED RETINA S.C. below.

NPI Profile for
ADVANCED RETINA S.C.

NPI Number
1063173128
Enumeration Date

(more than 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED RETINA S.C.
Primary location
4131 W LOOMIS RD STE 240
GREENFIELD, WI 53221-2072
Phone: (262) 510-0300 Fax: (262) 510-0500
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RYAN VOGEL
PRESIDENT
Phone: (414) 573-5946
Updated
Certification Date
Jan 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0107X
- Ophthalmology / Retina Specialist (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.