Organization Active NPI

Vitreoretinal Surgery PLLC

Doing business as Retina Consultants of Minnesota

  • Ophthalmology Physician
  • Edina, MN
National Provider Identifier
1891783965
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VITREORETINAL SURGERY PLLC
Doing business as
Retina Consultants of Minnesota
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
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

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

Specialties & licenses 4

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

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

Other practice location 2

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

Other practice location 3

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

Other practice location 4

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

Other practice location 5

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

Other practice location 6

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

Other practice location 7

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

Other practice location 8

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

Other names 1

  • Retina Consultants of Minnesota Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

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…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2254996Vitreoretinal Surgery D/B/a Retina Consultants6099 Wayzata Boulevard, Suite 210, Saint Louis Park, MN 55416Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

2830 Cutters Grove Ave
Anoka, MN 55303

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

11091 Ulysses St NE
Ste 200
Blaine, MN 55434
Phone (763) 235-4104

4316 Rice Lake Rd
Duluth, MN 55811
Phone (952) 205-1252

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

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

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

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

1099 Helmo Ave N
Ste 220
Oakdale, MN 55128
Phone (651) 361-8100

3701 12th St N
Ste 102
Saint Cloud, MN 56303
Phone (320) 654-8353

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

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

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1891783965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554353004",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W 76TH ST STE 325",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355242",
            "telephone_number": "952-929-1131",
            "fax_number": "952-929-8873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2485 Maplewood Dr N Ste 213",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091980",
            "country_code": "US",
            "telephone_number": "612-871-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 2nd St S Ste 120",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563017314",
            "country_code": "US",
            "telephone_number": "320-654-8353",
            "fax_number": "320-654-8663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7115 Tamarack Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "MN",
            "postal_code": "551251214",
            "country_code": "US",
            "telephone_number": "651-361-8100",
            "fax_number": "651-361-8101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6099 Wayzata Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "St Louis Park",
            "state": "MN",
            "postal_code": "554165538",
            "country_code": "US",
            "telephone_number": "763-550-1002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2830 Cutters Grove Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Anoka",
            "state": "MN",
            "postal_code": "553036212",
            "country_code": "US",
            "telephone_number": "612-871-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Navaho Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560014877",
            "country_code": "US",
            "telephone_number": "612-871-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4316 Rice Lake Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558114012",
            "country_code": "US",
            "telephone_number": "218-625-5020",
            "fax_number": "218-625-8179",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11855 Ulysses St NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "554343948",
            "country_code": "US",
            "telephone_number": "763-235-4104",
            "fax_number": "763-755-0277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VITREORETINAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "POFFENBERGER",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "952-897-1175",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Consultants of Minnesota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.