Advanced Retina Institute LLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

ADVANCED RETINA INSTITUTE LLC

Practice address

28901 Trails Edge Blvd Ste 202
Bonita Springs, FL 34134-7588

Phone

(239) 544-3122

Fax

(239) 544-3128

NPI assigned

Sep 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael Tsipursky, MDNPI 1437315033

Title

Physician/Owner

Phone

(847) 323-5792

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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: cdanzig@tsipurskymd.intellechartdirect.net
• Direct secure messaging: mtsipursky@tsipurskymd.intellechartdirect.net

Practitioners 2

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

• Michael S Tsipursky, MD

  • Retina Specialist (Ophthalmology) Physician
  • Bonita Springs, FL
  • NPI 1437315033
  Medicare reassignment Care Compare group NPD Authorized official
• Carl Joshua Danzig, M.D.

  • Ophthalmology Physician
  • Bonita Springs, FL
  • NPI 1619137320

  Retina Specialist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1891573226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9431 CORKSCREW PALMS CIR",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286275",
            "telephone_number": "239-544-3122",
            "fax_number": "239-544-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28901 TRAILS EDGE BLVD STE 202",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347588",
            "telephone_number": "239-544-3122",
            "fax_number": "239-544-3128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9431 Corkscrew Palms Cir",
            "address_purpose": "LOCATION",
            "city": "Estero",
            "state": "FL",
            "postal_code": "339286275",
            "country_code": "US",
            "telephone_number": "239-544-3122",
            "fax_number": "239-544-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED RETINA INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "TSIPURSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "847-323-5792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Retina Specialist (Ophthalmology) Physician in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Retina Specialist (Ophthalmology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.