VITREO-RETINAL CONSULTANTS & SURGEONS PA NPI 1275557761

NPI Information

VITREO-RETINAL CONSULTANTS & SURGEONS PA is a retina specialist ophthalmology in Wichita, KS. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. VITREO-RETINAL CONSULTANTS & SURGEONS PA NPI is 1275557761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

530 N LORRAINE ST
WICHITA, KS
ZIP 67214-837
Phone: (316) 683-5611
Fax: (316) 683-0294

The provider's authorized official is Judy A Marek .
The authorized official title is Practice Administrator and has the following contact phone number (316) 683-3108.

The CLIA number assigned to this NPI record is 17D0451840 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2006 and was last updated on 2/8/2018.

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:

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