THIRD COAST RETINA S.C. is a retina specialist ophthalmology in Kenosha, WI. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. THIRD COAST RETINA S.C. NPI is 1831823921. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
5017 GREEN BAY RD STE 148 KENOSHA, WI ZIP 53144-782 Phone: (262) 420-5888
The provider's authorized official is Clinton Warren . The authorized official title is President and has the following contact phone number (262) 420-5888.
The enumeration date for this NPI number is 7/13/2022 and was last updated on 8/10/2022.
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:
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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