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RETINA-VITREOUS SURGEONS OF CENTRAL NEW YORK, PC
NPI 1124012737
Ophthalmology - Retina Specialist in Liverpool, NY

Active since September 09, 2005CLIA 33D2029975 · Waiver
200 GREENFIELD PKWY, LIVERPOOL, NY 13088(315) 445-8166(315) 445-2697 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2024, Aug 21, 2020, Aug 12, 2020 and 1 more (4 updates tracked since 2019).

About Retina-vitreous Surgeons Of Central New York, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA-VITREOUS SURGEONS OF CENTRAL NEW YORK, PC (NPI 1124012737) is a healthcare organization registered as a retina specialist in Liverpool, New York and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Anne Smith, Business Services Coordinator, as its authorized official.

NPPES Registry Identity

NPI1124012737
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA-VITREOUS SURGEONS OF CENTRAL NEW YORK, PC
Location Address200 GREENFIELD PKWYLiverpool, NY 13088-6655
Mailing Address200 Greenfield PkwyLiverpool, NY 13088-6655 · (315) 445-8166 · Fax (315) 445-2697
Phone(315) 445-8166
Fax(315) 445-2697
Organization SubpartNo
Authorized OfficialAnne SmithBusiness Services Coordinator · (315) 445-8166
Enumeration DateSeptember 9, 2005
Last NPPES UpdateDecember 20, 20244 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
✔ NPI 1124012737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
200 GREENFIELD PKWY, Liverpool, NY 13088
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2029975

Retina-Vitreous Surgeons Of Central Ny, PC · Liverpool, NY
Active · expires Sep 19, 2027
CLIA Number33D2029975
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorDr. George R. Hampton
Laboratory Phone(315) 445-8166
Laboratory LocationRetina-Vitreous Surgeons Of Central Ny, PC200 Greenfield Parkway, Liverpool, NY 13088
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICK RAFAEL OELLERS MD
Ophthalmology (Retina Specialist)
200 GREENFIELD PKWY
LIVERPOOL, NY 13088
Onondaga County (315) 445-8166
BRYAN KYLE RUTLEDGE M.D.
Ophthalmology (Retina Specialist)
200 GREENFIELD PKWY
LIVERPOOL, NY 13088
Onondaga County (315) 445-8166
RAJEEV K. SETH MD
Ophthalmology (Retina Specialist)
200 GREENFIELD PKWY
LIVERPOOL, NY 13088
Onondaga County (315) 445-8166
DR. JAMIN S. BROWN M.D.
Ophthalmology (Retina Specialist)
200 GREENFIELD PKWY
LIVERPOOL, NY 13088
Onondaga County (315) 445-8166
DR. KEVIN I ROSENBERG MD
Ophthalmology (Retina Specialist)
200 GREENFIELD PKWY
LIVERPOOL, NY 13088
Onondaga County (315) 445-8166
SAMUEL CLYDE SPALDING III M.D.
Ophthalmology (Retina Specialist)
200 GREENFIELD PKWY
LIVERPOOL, NY 13088
Onondaga County (315) 445-8166
DR. TAHSIN CHOUDHURY M.D.
Ophthalmology (Retina Specialist)
200 GREENFIELD PKWY
LIVERPOOL, NY 13088
Onondaga County (315) 445-8166
DR. MARK PHILIP BREAZZANO M.D.
Ophthalmology (Retina Specialist)
200 GREENFIELD PKWY
LIVERPOOL, NY 13088
Onondaga County (315) 445-8166

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina-Vitreous Surgeons Of Central New York, PC's NPI number?

The NPI number for Retina-Vitreous Surgeons Of Central New York, PC is 1124012737. It was assigned to this organization in the NPPES registry on September 9, 2005.

Where is Retina-Vitreous Surgeons Of Central New York, PC located?

Retina-Vitreous Surgeons Of Central New York, PC is located at 200 Greenfield Pkwy, Liverpool, NY 13088. The listed phone number is (315) 445-8166.

What is Retina-Vitreous Surgeons Of Central New York, PC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Does Retina-Vitreous Surgeons Of Central New York, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2029975) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Retina-Vitreous Surgeons Of Central New York, PC was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.