RETINA & VITREOUS CONSULTANTS OF WI LTD. NPI 1114044435

NPI Information

RETINA & VITREOUS CONSULTANTS OF WI, LTD. is a retina specialist ophthalmology in Milwaukee, WI. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. RETINA & VITREOUS CONSULTANTS OF WI, LTD. NPI is 1114044435. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2600 N MAYFAIR RD
SUITE 901
MILWAUKEE, WI
ZIP 53226-309
Phone: (414) 774-3484
Fax: (414) 778-3445

The provider's authorized official is Sharath C Raja .
The authorized official title is President and has the following contact phone number (414) 774-3484.

The CLIA number assigned to this NPI record is 52D0996387 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 6/23/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.