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Vitreoretinal Surgery PLLC

Organization Active NPI Ophthalmology Physician · Edina, MN

NPI 1891783965 · NPPES record last updated Jul 30, 2026

Key facts

NPI
1891783965
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
Legal business name
VITREORETINAL SURGERY PLLC
Practice address
3601 W 76TH St Ste 325
Edina, MN 55435-5242
Phone
(952) 929-1131
Fax
(952) 929-8873
NPI assigned
Oct 12, 2005
Organization subpart
No

Authorized official

Name
Mrs. Gretchen G Poffenberger
Title
Cfo
Phone
(952) 897-1175

Practitioners 34

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

View all 34

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2254996Vitreoretinal Surgery D/B/a Retina Consultants
6099 Wayzata Boulevard, Suite 210, Saint Louis Park, MN 55416		Certificate of waiverMar 8, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060718000015 MN Part B Supplier - Clinic/Group Practice 6709899768 Receives reassigned benefits from 27 practitioners
Practice locations: Blaine, MN; Woodbury, MN; St Louis Park, MN; Saint Cloud, MN; Minneapolis, MN; Mankato, MN; Maplewood, MN; Anoka, MN…

National Provider Directory

Locations

2830 Cutters Grove Ave
Anoka, MN 55303

2830 Cutters Grove Ave
Ste 100
Anoka, MN 55303
Phone (612) 871-2292

3601 W 76th St
Fl 3
Edina, MN 55435

4316 Rice Lake Rd
Ste 106
Hermantown, MN 55811
Phone (218) 625-5020

4815 W Arrowhead Rd
Ste 210
Hermantown, MN 55811
Phone (218) 625-5020

2485 Maplewood Dr N
Ste 213
Maplewood, MN 55109
Phone (612) 871-2292

3601 W 76th St
Ste 300
Minneapolis, MN 55435
Phone (952) 897-1175

7760 France Ave S
Ste 310
Minneapolis, MN 55435
Phone (952) 897-1175

3601 W 76th St
Ste 325
Minneapolis, MN 55435
Phone (952) 929-1131

710 E 24th St
Ste 103
Minneapolis, MN 55404
Phone (612) 746-1515

314 Main St E
Ste 5
New Prague, MN 56071
Phone (952) 758-4739

4150 2nd St S
#120
Saint Cloud, MN 56301

4150 2nd St S
Ste 120
Saint Cloud, MN 56301
Phone (320) 654-8353

2485 Maplewood Dr N
Ste W213
Saint Paul, MN 55109

2550 University Ave W
Ste 135N
Saint Paul, MN 55114
Phone (651) 644-8993

6099 Wayzata Blvd
Ste 130
St Louis Park, MN 55416
Phone (763) 550-1002

7115 Tamarack Rd
Ste 100
Woodbury, MN 55125
Phone (651) 361-8100

7115 Tamarack Rd
Ste 110
Woodbury, MN 55125

Interoperability endpoints

  • Direct secure messaging: amahmoudi@vrssurgery.intellechartdirect.net
  • Direct secure messaging: memerson@vrssurgery.intellechartdirect.net
  • Direct secure messaging: abhavsar@vrssurgery.intellechartdirect.net
  • Direct secure messaging: danderson@vrssurgery.intellechartdirect.net
  • Direct secure messaging: ysychev@vrssurgery.intellechartdirect.net
  • Direct secure messaging: gemerson@vrssurgery.intellechartdirect.net
  • Direct secure messaging: tvagaggini@vrssurgery.intellechartdirect.net
  • Direct secure messaging: asalman@vrssurgery.intellechartdirect.net
  • Direct secure messaging: tkchiang@vrssurgery.intellechartdirect.net
  • Direct secure messaging: vvann@vrssurgery.intellechartdirect.net
  • Direct secure messaging: jjones@vrssurgery.intellechartdirect.net
  • Direct secure messaging: chwang@vrssurgery.intellechartdirect.net
  • Direct secure messaging: gjiao@vrssurgery.intellechartdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207W00000X Yes
Retina Specialist (Ophthalmology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207WX0107X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207WX0108X
Pediatric Ophthalmology and Strabismus Specialist Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207WX0110X

Addresses

Primary practice location

3601 W 76TH St Ste 325
Edina, MN 55435-5242

Mailing address

3601 W 76TH St Ste 300
Edina, MN 55435-3004
Phone (952) 929-1131

Other practice location 1

2830 Cutters Grove Ave Ste 100
Anoka, MN 55303-6212
Phone (612) 871-2292

Other practice location 2

11855 Ulysses St NE Ste 110
Blaine, MN 55434-3948
Phone (763) 235-4104

Other practice location 3

4316 Rice Lake Rd Ste 106
Duluth, MN 55811-4012
Phone (218) 625-5020

Other practice location 4

4150 2nd St S Ste 120
Saint Cloud, MN 56301-7314
Phone (320) 654-8353

Other practice location 5

7115 Tamarack Rd Ste 100
Woodbury, MN 55125-1214
Phone (651) 361-8100

Other practice location 6

6099 Wayzata Blvd Ste 130
St Louis Park, MN 55416-5538
Phone (763) 550-1002

Other practice location 7

99 Navaho Ave Ste 100
Mankato, MN 56001-4877
Phone (612) 871-2292

Other practice location 8

2485 Maplewood Dr N Ste 213
Maplewood, MN 55109-1980
Phone (612) 871-2292

Other names

  • Retina Consultants of Minnesota Doing business as

Other providers in Edina, MN

All providers in Edina, MN · Ophthalmology Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.