RETINA VITREOUS CONSULTANTS NPI 1699773796

NPI Information

  • NPI: 1699773796
  • Provider Name: RETINA VITREOUS CONSULTANTS
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 10D1069186
  • Address: 6333 N FEDERAL HWY
    SUITE 300
    FT LAUDERDALE, FL
    ZIP 33308
  • Phone: (954) 776-6880

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NPI Details

RETINA VITREOUS CONSULTANTS is an ophthalmology in Ft Lauderdale, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. RETINA VITREOUS CONSULTANTS NPI is 1699773796. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider .

The provider's business location address is:

6333 N FEDERAL HWY
SUITE 300
FT LAUDERDALE, FL
ZIP 33308-907
Phone: (954) 776-6880
Fax: (954) 229-3100

The provider's authorized official is Barry S. Taney .
The authorized official title is Partner and has the following contact phone number (954) 776-6880.

The CLIA number assigned to this NPI record is 10D1069186 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 9/15/2025.

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
1207WX0108XOphthalmologyUveitis and Ocular Inflammatory DiseaseNo
2207WX0107XOphthalmologyRetina SpecialistNo
3207W00000XOphthalmologyFLORIDAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114738410MEDICAIDFLORIDA
2114738416MEDICAIDFLORIDA
3114738417MEDICAIDFLORIDA
4116137119MEDICAIDFLORIDA
5116137108MEDICAIDFLORIDA
6114738415MEDICAIDFLORIDA
7114738419MEDICAIDFLORIDA
8116137111MEDICAIDFLORIDA
9114738401MEDICAIDFLORIDA
10114738402MEDICAIDFLORIDA
11114738400MEDICAIDFLORIDA
12114738403MEDICAIDFLORIDA
13114738409MEDICAIDFLORIDA
14116137101MEDICAIDFLORIDA
15114738404MEDICAIDFLORIDA
16114738408MEDICAIDFLORIDA
17114738411MEDICAIDFLORIDA
18114738413MEDICAIDFLORIDA
19116137105MEDICAIDFLORIDA
20114738406MEDICAIDFLORIDA
21114738407MEDICAIDFLORIDA
22114738414MEDICAIDFLORIDA
23116137110MEDICAIDFLORIDA
24114738412MEDICAIDFLORIDA
25114738418MEDICAIDFLORIDA

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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