Retina Vitreous Center, Pllc - Medicare in Edmond, OK

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Retina Vitreous Center, Pllc is a medicare enrolled "Ophthalmology - Retina Specialist" provider in Edmond, Oklahoma. Their current practice location is 1851 S Kelly Ave Ste A, Edmond, Oklahoma. You can reach out to their office (for appointments etc.) via phone at (405) 607-6699.

Retina Vitreous Center, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Retina Vitreous Center, Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1811284946.

Contact Information

Retina Vitreous Center, Pllc
1851 S Kelly Ave Ste A,
Edmond, OK 73013-3929
(405) 607-6699
(405) 607-6685

Map and Direction




Healthcare Provider's Profile

Full NameRetina Vitreous Center, Pllc
TypeFacility
SpecialityOphthalmology - Retina Specialist
Location1851 S Kelly Ave Ste A, Edmond, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811284946
  • Provider Enumeration Date: 07/10/2011
  • Last Update Date: 04/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375712763
  • Enrollment ID: O20110801000342

Medical Identifiers

Medical identifiers for Retina Vitreous Center, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811284946NPI-NPPES
200198330AMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207WX0107XOphthalmology - Retina Specialist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Retina Vitreous Center, Pllc acts as a billing entity for following providers:
Provider NameSandeep N Shah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154362770
PECOS PAC ID: 2567466527
Enrollment ID: I20080616000645
Provider NameBrian S Phelps
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1689866576
PECOS PAC ID: 1850561655
Enrollment ID: I20130824000062
Provider NameRyan M Ridges
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1780634782
PECOS PAC ID: 3779654595
Enrollment ID: I20151002000078
Provider NameMichael P Hood
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1386932333
PECOS PAC ID: 7214173756
Enrollment ID: I20190131000690
Provider NameSahab Astani
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1174142418
PECOS PAC ID: 0345645297
Enrollment ID: I20210816003596
Provider NameDavid Josip Grasic
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1982256558
PECOS PAC ID: 9436548781
Enrollment ID: I20240122000528

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Retina Vitreous Center, Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Retina Vitreous Center, Pllc
Po Box 410108,
Kansas City, MO 64141-0108

Ph: (405) 607-6699		Retina Vitreous Center, Pllc
1851 S Kelly Ave Ste A,
Edmond, OK 73013-3929

Ph: (405) 607-6699

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.