Organization Active NPI

Vitreoretinal Consultants Inc.

  • Ophthalmology Physician
  • Brookline, MA
National Provider Identifier
1154641173
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
72171 Issued in MA
Legal business name
VITREORETINAL CONSULTANTS INC.
Practice address
1101 Beacon Street
Suite 3E
Brookline, MA 02446
Phone
(617) 731-1760
Fax
(617) 731-0610
NPI assigned
Jun 2, 2010
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Delia Sang, MDNPI 1508842634
Title
Owner
Phone
(617) 731-1760

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 72171 MA Primary

Addresses

Primary practice location

1101 Beacon Street
Suite 3E
Brookline, MA 02446

Mailing address

1101 Beacon Street
Suite 3E
Brookline, MA 02446
Phone (617) 731-1760

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100826001051 MA Part B Supplier - Clinic/Group Practice 8325162381 Receives reassigned benefits from 1 practitioner
Practice locations: Brookline, MA

National Provider Directory

National Provider Directory
Tax ID family
Vitreoretinal Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

50 Mall Rd
Ste G16
Burlington, MA 01803
Phone (781) 229-1760

Interoperability endpoints

  • Direct secure messaging: sang.delia.vrc@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1154641173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 BEACON STREET",
            "address_2": "SUITE 3E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-731-1760",
            "fax_number": "617-731-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEACON STREET",
            "address_2": "SUITE 3E",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "02446",
            "telephone_number": "617-731-1760",
            "fax_number": "617-731-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREORETINAL CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "SANG",
        "authorized_official_first_name": "DELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-731-1760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "72171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookline, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.