Organization Active NPI

Vitreoretinal Specialists PLC

Doing business as Retina Associates of Michigan

  • Ophthalmology Physician
  • Grand Blanc, MI
National Provider Identifier
1144582438
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301089275 Issued in MI
Legal business name
VITREORETINAL SPECIALISTS PLC
Doing business as
Retina Associates of Michigan
Practice address
8562 Holly Rd
Grand Blanc, MI 48439-8301
Phone
(810) 487-4500
Fax
(810) 991-8228
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Christopher Naresh SinghNPI 1083724900
Title
Managing Member
Phone
(810) 487-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 4301089275 MI Primary

Addresses

Primary practice location

8562 Holly Rd
Grand Blanc, MI 48439-8301

Mailing address

8562 Holly Rd
Grand Blanc, MI 48439-8301
Phone (810) 487-4500

Other practice location 1

5885 S Main St Ste 2
Clarkston, MI 48346-2981
Phone (810) 487-4500

Other names 1

  • Retina Associates of Michigan Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000829 MI Part B Supplier - Clinic/Group Practice 9234388919 Receives reassigned benefits from 3 practitioners
Practice locations: Grand Blanc, MI

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
23D2228660Retina Associates of Michigan8562 Holly Road, Grand Blanc, MI 48439Certificate of waiverJun 28, 2027

National Provider Directory

National Provider Directory

Locations

5885 S Main St
Ste 220
Clarkston, MI 48346

5885 S Main St
Ste 2
Clarkston, MI 48346
Phone (248) 933-6534

4190 24th Ave
Ste 204
Fort Gratiot, MI 48059
Phone (810) 989-7702

8562 Holly Rd
Grand Blanc, MI 48439
Phone (810) 487-4500

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1144582438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8562 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398301",
            "telephone_number": "810-487-4500",
            "fax_number": "810-991-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8562 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398301",
            "telephone_number": "810-487-4500",
            "fax_number": "810-991-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5885 S Main St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483462981",
            "country_code": "US",
            "telephone_number": "810-487-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITREORETINAL SPECIALISTS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "NARESH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "810-487-4500"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301089275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Associates of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.