ADVANCED RETINA S.C. NPI 1063173128

NPI Information

  • NPI: 1063173128
  • Provider Name: ADVANCED RETINA S.C.
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Organization
  • Address: 4131 W LOOMIS RD STE 240
    GREENFIELD, WI
    ZIP 53221
  • Phone: (262) 510-0300

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NPI Details

ADVANCED RETINA S.C. is a retina specialist ophthalmology in Greenfield, WI. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. ADVANCED RETINA S.C. NPI is 1063173128. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4131 W LOOMIS RD STE 240
GREENFIELD, WI
ZIP 53221-072
Phone: (262) 510-0300
Fax: (262) 510-0500

The provider's authorized official is Ryan Vogel .
The authorized official title is President and has the following contact phone number (414) 573-5946.

The enumeration date for this NPI number is 12/31/2021 and was last updated on 1/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207WX0107XOphthalmologyRetina SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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