Retina-Vitreous Surgeons of Central New York, PC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA-VITREOUS SURGEONS OF CENTRAL NEW YORK, PC

Practice address

200 Greenfield Pkwy
Liverpool, NY 13088-6655

Phone

(315) 445-8166

Fax

(315) 445-2697

NPI assigned

Sep 9, 2005

Last updated

Dec 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anne Smith

Title

Business Services Coordinator

Phone

(315) 445-8166

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 13

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.

• Jamin S. Brown, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Liverpool, NY
  • NPI 1235242124
  Medicare reassignment Care Compare group NPD
• Tahsin Choudhury, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Liverpool, NY
  • NPI 1467713685
  Medicare reassignment Care Compare group NPD
• Sandra E Gibson, PA

  • Physician Assistant
  • North Syracuse, NY
  • NPI 1447686050
  Medicare reassignment Care Compare group NPD
• Patrick Rafael Oellers, MD

  • Retina Specialist (Ophthalmology) Physician
  • Liverpool, NY
  • NPI 1043576663
  Medicare reassignment Care Compare group NPD
• Kevin I Rosenberg, MD

  • Retina Specialist (Ophthalmology) Physician
  • Liverpool, NY
  • NPI 1255560157
  Medicare reassignment Care Compare group NPD
• Rajeev K. Seth, MD

  • Retina Specialist (Ophthalmology) Physician
  • Liverpool, NY
  • NPI 1073710737
  Medicare reassignment Care Compare group NPD
• Mark Philip Breazzano, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Liverpool, NY
  • NPI 1619388121
  Medicare reassignment NPD
• Katherine Haley Seifert, PA-C

  • Surgery Physician
  • Syracuse, NY
  • NPI 1841880127

  Single Specialty

  Medicare reassignment NPD
• Mahin Choudhury, MD

  • Ophthalmology Physician
  • Liverpool, NY
  • NPI 1235871708

  Single Specialty

  NPD
• Bryan Kyle Rutledge, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Liverpool, NY
  • NPI 1053307272
  NPD
• Samuel Clyde Spalding III, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Liverpool, NY
  • NPI 1356337562
  NPD
• Paul Francis Torrisi, M.D.

  • Ophthalmology Physician
  • Syracuse, NY
  • NPI 1609861046
  NPD

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1124012737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GREENFIELD PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886655",
            "telephone_number": "315-445-8166",
            "fax_number": "315-445-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GREENFIELD PKWY",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886655",
            "telephone_number": "315-445-8166",
            "fax_number": "315-445-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA-VITREOUS SURGEONS OF CENTRAL NEW YORK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "BUSINESS SERVICES COORDINATOR",
        "authorized_official_telephone_number": "315-445-8166",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Reger, MD
• Regina M. Devito, O.D., P.C.
• Brandon Matthew Reilly, DPT, MPH
• Manisha Relan, MD
• Mark A Relyea, LPN
• Sonya Rettig
• Return to Compete Physical Therapy, PLLC
• Nicole M Reynolds, PT
• James E Riccelli, DM
• Angela Rice

• Retina Specialist (Ophthalmology) Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Retina Specialist (Ophthalmology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.