RETINA VITREOUS CENTER, PLLC – NPI #1811284946
Ophthalmology
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
RETINA VITREOUS CENTER, PLLC is an ophthalmologist located in EDMOND, OK. NPPES has assigned the NPI number 1811284946 to RETINA VITREOUS CENTER, PLLC on July 10, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 Apr 30, 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 RETINA VITREOUS CENTER, PLLC below.
NPI Profile for
RETINA VITREOUS CENTER, PLLC
(about 15 years ago)
EDMOND, OK 73013-3929 Phone: (405) 607-6699 Fax: (405) 607-6685
1 Other location(s):
Edmond, OK 73013-9791
Phone: (405) 607-6699
Fax: (405) 607-6685
KANSAS CITY, MO 64141-0108 Phone: (405) 607-6699 Fax: (405) 607-6685
FOUNDING MANAGER
Phone: (405) 607-6699
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.
Identifiers for RETINA VITREOUS CENTER, PLLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| medicaid | OK | 200198330A |
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) |
||
| 152W00000X - Optometrist |
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.