RETINA-VITREOUS SURGEONS OF CENTRAL NEW YORK, PC
NPI 1124012737
Ophthalmology - Retina Specialist in Liverpool, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Retina-vitreous Surgeons Of Central New York, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Retina-Vitreous Surgeons Of Central New York, PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is Retina-Vitreous Surgeons Of Central New York, PC enrolled in Medicare?
Yes. Retina-Vitreous Surgeons Of Central New York, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Retina-Vitreous Surgeons Of Central New York, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina-Vitreous Surgeons Of Central New York, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 22 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.
# Retina-Vitreous Surgeons Of Central New York, Pc · NPI 1124012737
Retina Specialist organization in Liverpool, New York. Organization record, active in the CMS NPPES registry since September 9, 2005.
## Identity
- **NPI:** 1124012737 (Entity type: Organization)
- **Enumerated:** September 9, 2005
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Anne Smith, BUSINESS SERVICES COORDINATOR
## Practice location
- **Address:** 200 GREENFIELD PKWY, Liverpool, NY 13088-6655
- **Phone:** (315) 445-8166 · **Fax:** (315) 445-2697
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 7 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124012737) · Data from the CMS NPPES public registry.