ATLANTIC RETINA CONSULTANTS NPI 1649928490

NPI Information

  • NPI: 1649928490
  • Provider Name: ATLANTIC RETINA CONSULTANTS
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Organization
  • CLIA Number: 10D2310424
  • Address: 175 E NASA BLVD STE 201
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 999-7456

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NPI Details

ATLANTIC RETINA CONSULTANTS is a retina specialist ophthalmology in Melbourne, FL. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. ATLANTIC RETINA CONSULTANTS NPI is 1649928490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

175 E NASA BLVD STE 201
MELBOURNE, FL
ZIP 32901-998
Phone: (321) 999-7456

The provider's authorized official is Hetal Vaishnav .
The authorized official title is Owner and has the following contact phone number (321) 999-7456.

The CLIA number assigned to this NPI record is 10D2310424 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/11/2022 and was last updated on 9/11/2024.

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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