Active NPI
Vitreoretinal Surgery PLLC
Doing business as Retina Consultants of Minnesota
- Ophthalmology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary | ||
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | |||
| Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician | 207WX0108X | |||
| Pediatric Ophthalmology and Strabismus Specialist Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2254996 | Vitreoretinal Surgery D/B/a Retina Consultants | Certificate of waiver | Mar 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
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
- abhavsar@vrssurgery.intellechartdirect.net
- amahmoudi@vrssurgery.intellechartdirect.net
- asalman@vrssurgery.intellechartdirect.net
- chwang@vrssurgery.intellechartdirect.net
- danderson@vrssurgery.intellechartdirect.net
- gemerson@vrssurgery.intellechartdirect.net
- gjiao@vrssurgery.intellechartdirect.net
- jjones@vrssurgery.intellechartdirect.net
- memerson@vrssurgery.intellechartdirect.net
- tkchiang@vrssurgery.intellechartdirect.net
- tvagaggini@vrssurgery.intellechartdirect.net
- vvann@vrssurgery.intellechartdirect.net
- 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.
-
- Ophthalmology Physician
- Edina, MN
- NPI 1275929259
-
- Retina Specialist (Ophthalmology) Physician
- Minneapolis, MN
- NPI 1396776951
-
- Ophthalmology Physician
- Edina, MN
- NPI 1407844582
-
- Ophthalmology Physician
- Edina, MN
- NPI 1811904212
-
- Ophthalmology Physician
- Edina, MN
- NPI 1497744924
-
- Retina Specialist (Ophthalmology) Physician
- Minneapolis, MN
- NPI 1801848171
-
- Retina Specialist (Ophthalmology) Physician
- Minneapolis, MN
- NPI 1649222902
-
- Ophthalmology Physician
- Edina, MN
- NPI 1396278438
-
- Retina Specialist (Ophthalmology) Physician
- Minneapolis, MN
- NPI 1780720201
-
- Ophthalmology Physician
- Edina, MN
- NPI 1497508642
-
- Ophthalmology Physician
- Edina, MN
- NPI 1417582693
-
- Ophthalmology Physician
- Edina, MN
- NPI 1023675501
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.