Arizona Retina and Vitreous Consultants LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

41415 Issued in AZ

Legal business name

ARIZONA RETINA AND VITREOUS CONSULTANTS LLC

Practice address

3840 N 16TH St
Phoenix, AZ 85016-5917

Phone

(602) 232-6066

NPI assigned

Dec 17, 2009

Last updated

Oct 9, 2023By 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

Dr. Ramin Schadlu, M.D.NPI 1962428276

Title

Owner

Phone

(602) 232-6066

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: rschadlu@azretvit.intellechartdirect.net
• Direct secure messaging: sseetharam@azretvit.intellechartdirect.net

Practitioners 7

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.

• Ramin Schadlu, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1962428276
  Medicare reassignment Care Compare group Authorized official
• Anita Prasad, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1114967981
  Medicare reassignment Care Compare group NPD
• Bentley C Skibell, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1265537898
  Medicare reassignment Care Compare group NPD
• Shabari Sanat Seetharam, M.D.

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1013197375
  Medicare reassignment Care Compare group
• Jacob Roy Miller, O.D.

  • Optometrist
  • Phoenix, AZ
  • NPI 1922100650
  NPD
• Gary Mackman, MD

  • Ophthalmology Physician
  • Phoenix, AZ
  • NPI 1326044108
  NPD (past)
• Gabriel J Perry, DO

  • Ophthalmology Physician
  • Scottsdale, AZ
  • NPI 1558322255
  NPD (past)

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1174852388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165917",
            "telephone_number": "602-232-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165917",
            "telephone_number": "602-232-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA RETINA AND VITREOUS CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A",
        "authorized_official_last_name": "SCHADLU",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-232-6066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "41415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arizona Rehabilitation Associates, LTD
• Arizona Rehabilitation Associates, LTD.
• Arizona Rehabilitation Associates, LTD.
• Arizona Reliance Home Health Inc.
• Arizona Reproductive Medicine Specialists
• Arizona S Advanced Wound Care LLC
• Arizona Senior Life LLC (Arizona Senior Life LLC DBA Apex transitional housing Inc)
• Arizona Serenity Home Care LLC
• Arizona Sinus and ENT Associates PC
• Arizona Skin and Laser Therapy Institue, LTD

• Ophthalmology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Ophthalmology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.