Organization Active NPI

Retina Vitreous Consultants Inc.

  • Ophthalmology Physician
  • Monroeville, PA
National Provider Identifier
1063444123
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA VITREOUS CONSULTANTS INC.
Practice address
300 Oxford Dr
Ste 300
Monroeville, PA 15146-2361
Phone
(412) 683-5300
Fax
(412) 349-8655
NPI assigned
Jul 7, 2006
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heather Thomas
Title
Admin
Phone
(412) 683-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

300 Oxford Dr
Ste 300
Monroeville, PA 15146-2361

Mailing address

300 Oxford Dr Ste 300
Monroeville, PA 15146-2357
Phone (412) 683-5300

Other identifiers 1

IdentifierTypeStateIssuer
0010550120005MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040907000040 PA Part B Supplier - Clinic/Group Practice 5698741221 Receives reassigned benefits from 12 practitioners
Practice locations: Altoona, PA; Bethel Park, PA; Cranberry Township, PA; Johnstown, PA; Monroeville, PA
O20220802000800 WV Part B Supplier - Clinic/Group Practice 5698741221 Receives reassigned benefits from 11 practitioners
Practice locations: Triadelphia, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D1080363Retina Vitreous Consultants300 Oxford Drive, Suite 300, Monroeville, PA 15146Certificate of waiverFeb 20, 2028

National Provider Directory

National Provider Directory

Locations

501 Howard Ave
Ste C200
Altoona, PA 16601
Phone (412) 683-5300

2000 Oxford Dr
Ste 670
Bethel Park, PA 15102
Phone (412) 683-5300

51 Dutilh Rd
Ste 200
Cranberry Township, PA 16066
Phone (412) 683-5300

969 Eisenhower Blvd
Ste H
Johnstown, PA 15904

3501 Forbes Ave
Ste 500
Pittsburgh, PA 15213
Phone (412) 683-5300

3501 Forbes Ave
Ste 510
Pittsburgh, PA 15213
Phone (412) 683-5151

221 Cabela Dr
Triadelphia, WV 26059
Phone (412) 683-5300

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1063444123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 OXFORD DR STE 300",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462357",
            "telephone_number": "412-683-5300",
            "fax_number": "412-349-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OXFORD DR",
            "address_2": "STE 300",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462361",
            "telephone_number": "412-683-5300",
            "fax_number": "412-349-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA VITREOUS CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "412-683-5300"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010550120005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.