RETINA SPECIALISTS OF MINNESOTA PLLC – NPI #1841135340
Ophthalmology

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

Health Care Provider Taxonomy Code for Ophthalmology

RETINA SPECIALISTS OF MINNESOTA PLLC is an ophthalmologist located in PLYMOUTH, MN. NPPES recently assigned the NPI number 1841135340 to RETINA SPECIALISTS OF MINNESOTA PLLC on April 21, 2026. 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

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 SPECIALISTS OF MINNESOTA PLLC below.

NPI Profile for
RETINA SPECIALISTS OF MINNESOTA PLLC

NPI Number
1841135340
Enumeration Date

(about 7 weeks 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
RETINA SPECIALISTS OF MINNESOTA PLLC
Primary location
3525 PLYMOUTH BLVD STE 207
PLYMOUTH, MN 55447-1384
Phone: (617) 407-2304 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SANDRA MONTEZUMA
PHYSICIAN OWNER
Phone: (617) 407-2304
Updated
Certification Date
Apr 21, 2026

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.