Organization · Type 2 NPI

Retina Vitreous Center, PLLC

Retina Specialist (Ophthalmology) Physician · Edmond, OK

NPI number 1811284946 Active

Practice location

1851 S Kelly Ave Ste A
Edmond, OK 73013-3929

Call (405) 607-6699 Map

Fax (405) 607-6685

Mailing address

PO Box 410108
Kansas City, MO 64141-0108

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XNone listed
Retina Specialist (Ophthalmology) Physician Primary 207WX0107XNone listed

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

6 other providers at this address

About NPI 1811284946

Retina Vitreous Center, PLLC's National Provider Identifier is 1811284946, issued on Jul 10, 2011. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Edmond, OK. The record was last updated on Sep 30, 2026.