Retina Vitreous Center, Pllc
LBN: Retina Vitreous Center, Pllc
Retina Vitreous Center, Pllc is an health care organization with primary practice located at 1851 S Kelly Ave Ste A , Edmond OK 73013-3602. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty.
Retina Vitreous Center, Pllc can be contacted via phone (405) 607-6699, or through Shah, Sandeep N. via phone (405) 607-6699.
Contact Information
Primary practice address
1851 S Kelly Ave Ste A
Edmond OK 73013-3602
Phone: (405) 607-6699
Fax: (405) 607-6685
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X |
Profile Details
| NPI number | 1811284946 |
|---|---|
| LBN Legal business name | Retina Vitreous Center, Pllc |
| DBA Doing business as | |
| Authorized official | Shah, Sandeep N. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 10th, 2011 |
| Last updated | Feb 19th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811284946 | NPPES |
| Oklahoma | MEDICAID | 200198330A |
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