OrganizationActive
Retina Vitreous Center, PLLC
NPI 1811284946 · Retina Specialist (Ophthalmology) Physician · Edmond, OK
Provider details
- NPI number
- 1811284946
- Entity type
- Organization
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandeep Shah, Founding Manager(405) 607-6699
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
Practice location
1851 S Kelly Ave Ste a
Edmond, OK 73013-3929
Phone: (405) 607-6699
Fax: (405) 607-6685
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 410108
Kansas City, MO 64141-0108
Registry dates
- Enumerated
- 2011-07-10
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.