Vitreous and Retina Consultants PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

VITREOUS AND RETINA CONSULTANTS PA

Practice address

4180 US Highway 27 S
Sebring, FL 33870-5515

Phone

(863) 297-5400

Fax

(863) 293-8230

NPI assigned

Nov 1, 2007

Last updated

Jan 6, 2012By 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

David Misch, MD

Title

President

Phone

(863) 297-5400

Specialties & licenses 1

Addresses

Other identifiers 1

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 & Retina Consultants, PA

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1730159575
  NPD tax ID

Locations

Practitioners 1

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.

• Adam Scott Berger, MD

  • Ophthalmology Physician
  • Winter Haven, FL
  • NPI 1972574408
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1790964179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705515",
            "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": "4180 US HIGHWAY 27 S",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338705515",
            "telephone_number": "863-297-5400",
            "fax_number": "863-293-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITREOUS AND RETINA CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "MISCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-297-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372196500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abel Viltres Crespo, FNP
• Emily Anne Vincent, PA-C
• Navneet Virdee
• Visions Adt Inc.
• Richard Vitolo, LPT
• Justin Volpi, PA-C
• Volunteers of America of Florida, Inc
• Volunteers of America of Florida, Inc
• Patricia Lee Voories, COTA
• Elizabeth Wacaster, CCC-SLP

• Ophthalmology Physician in Sebring, FL
• Providers in Sebring, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.