Retina & Vitreous Consultants Of Wi, Ltd.

LBN: Retina & Vitreous Consultants Of Wi, Ltd.
Retina & Vitreous Consultants Of Wi, Ltd. is an health care organization with primary practice located at 2600 N Mayfair Rd Suite 901, Milwaukee WI 53226-1309. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty. Retina & Vitreous Consultants Of Wi, Ltd. can be contacted via phone (414) 774-3484, or through Raja, Sharath C via phone (414) 774-3484.

Contact Information

Primary practice address
2600 N Mayfair Rd Suite 901 Milwaukee WI 53226-1309
Phone: (414) 774-3484
Fax: (414) 778-3445
Website:
Map and Directions
Authorized official contact:
Name: Raja, Sharath C Doctor of Medicine (MD)
Phone: (414) 774-3484

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1114044435
LBN Legal business name Retina & Vitreous Consultants Of Wi, Ltd.
DBA Doing business as
Authorized official Raja, Sharath C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2007
Last updated Jun 23rd, 2021 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114044435 NPPES
Wisconsin MEDICAID 32708400

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