Retina Vitreous Center, PLLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA VITREOUS CENTER, PLLC

Practice address

1851 S Kelly Ave Ste a
Edmond, OK 73013-3929

Phone

(405) 607-6699

Fax

(405) 607-6685

NPI assigned

Jul 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sandeep N. Shah, M.D.NPI 1154362770

Title

Founding Manager

Phone

(405) 607-6699

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: dgrasic@rvcoklahoma.intellechartdirect.net
• Direct secure messaging: sastani@rvcoklahoma.intellechartdirect.net

Practitioners 8

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

• Sandeep N Shah, MD

  • Retina Specialist (Ophthalmology) Physician
  • Edmond, OK
  • NPI 1154362770
  Medicare reassignment Care Compare group NPD Authorized official
• Sahab Astani, OD

  • Optometrist
  • Edmond, OK
  • NPI 1174142418
  Medicare reassignment Care Compare group NPD
• Ayman Elnahry, MD, PHD

  • Retina Specialist (Ophthalmology) Physician
  • Edmond, OK
  • NPI 1003542101
  Medicare reassignment Care Compare group NPD
• David Josip Grasic, MD

  • Retina Specialist (Ophthalmology) Physician
  • Edmond, OK
  • NPI 1982256558
  Medicare reassignment Care Compare group NPD
• Michael Philip Hood, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Edmond, OK
  • NPI 1386932333
  Medicare reassignment Care Compare group NPD
• Brian Steven Phelps, MD

  • Retina Specialist (Ophthalmology) Physician
  • Edmond, OK
  • NPI 1689866576
  Medicare reassignment Care Compare group NPD
• Ryan Ridges, MD

  • Retina Specialist (Ophthalmology) Physician
  • Edmond, OK
  • NPI 1780634782
  Medicare reassignment Care Compare group NPD
• Vatsala Niranjan Shah, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1376535328
  NPD (past)

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

{
    "created_epoch": "1310256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1811284946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410108",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641410108",
            "telephone_number": "405-607-6699",
            "fax_number": "405-607-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 S KELLY AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133929",
            "telephone_number": "405-607-6699",
            "fax_number": "405-607-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA VITREOUS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-10",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "FOUNDING MANAGER",
        "authorized_official_telephone_number": "405-607-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200198330A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Retina Specialist (Ophthalmology) Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Retina Specialist (Ophthalmology) Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.