Vitreous & Retina Consultants, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VITREOUS & RETINA CONSULTANTS, PA

Practice address

250 Avenue K SW
Suite 200
Winter Haven, FL 33880-3919

Phone

(863) 297-5400

Fax

(863) 293-8230

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Adam M Berger, MD

Title

President

Phone

(863) 297-5400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vitreous and Retina Consultants, LLC

  • Ophthalmology Physician
  • Lakeland, FL
  • NPI 1619156080

  O20040127000232

  Same enrollment

Tax ID family

Vitreous and Retina Consultants PA2 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.

• Vitreous and Retina Consultants PA

  • Ophthalmology Physician
  • Sebring, FL
  • NPI 1790964179
  NPD tax ID

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adam Scott Berger, MD

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1972574408
  Medicare reassignment Care Compare group NPD
• Logan Lawrence Christensen, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Winter Haven, FL
  • NPI 1467891812
  Medicare reassignment Care Compare group NPD
• Mehak Khan, OD

  • Optometrist
  • Winter Haven, FL
  • NPI 1104563857
  Medicare reassignment Care Compare group NPD
• Suk Moon, MD

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1477524130
  Medicare reassignment Care Compare group NPD
• Hershel R Patel, MD

  • Retina Specialist (Ophthalmology) Physician
  • Winter Haven, FL
  • NPI 1801216072
  Medicare reassignment Care Compare group NPD
• Brandon La, OD

  • Low Vision Rehabilitation Optometrist
  • Plano, TX
  • NPI 1710686118
  NPD
• Yolanda Isabel Cate, M.S., O.T.R., C.D.E.

  • Occupational Therapist
  • Riverview, FL
  • NPI 1659471589
  NPD (past)
• Scott Mayer Friedman, M.D.

  • Ophthalmology Physician
  • Lakeland, FL
  • NPI 1497842314
  NPD (past)
• Sunil Mohan Malkani, MD

  • Ophthalmology Physician
  • Fort Myers, FL
  • NPI 1134191976
  NPD (past)
• Ravneet Singh Rai

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1184251126
  NPD (past)
• Karen M Gehrs, MD

  • Ophthalmology Physician
  • Iowa City, IA
  • NPI 1669473732
  NPD (past)
• Benjamin J Kim, MD

  • Retina Specialist (Ophthalmology) Physician
  • Philadelphia, PA
  • NPI 1093879546
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1730159575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 AVENUE K SW",
            "address_2": "SUITE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803919",
            "telephone_number": "863-297-5400",
            "fax_number": "863-293-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 AVENUE K SW",
            "address_2": "SUITE 200",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803919",
            "telephone_number": "863-297-5400",
            "fax_number": "863-293-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREOUS & RETINA CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-297-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372196500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Ophthalmology Physician in Florida

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