Retina Vitreous Center, PLLC
NPI 1811284946ActiveOrganization· Ophthalmology, Retina Specialist· Edmond, OK
Ophthalmology, Retina Specialist in Edmond, Oklahoma, registered in NPPES in July 2011. The authorized official on file is Sandeep N. Shah, M.D., Founding Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1811284946 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2011 |
| Last updated in NPPES | Sep 30, 2026 |
| Certified by provider | Sep 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology, Retina Specialist Primary | 207WX0107X | — | — |
| Optometrist | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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