VITREO-RETINAL CONSULTANTS & SURGEONS PA
NPI 1275557761
Ophthalmology - Retina Specialist in Wichita, KS

Active since July 27, 2006CLIA 17D0451840 · Waiver
530 N LORRAINE ST, WICHITA, KS 67214(316) 683-5611(316) 683-0294 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Ophthalmology
  • Retina Specialist
  • Accepts Insurance
  • CLIA Number: 17D0451840
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-19-2027

About VITREO-RETINAL CONSULTANTS & SURGEONS PA

This page provides the complete NPI Profile along with additional information for Vitreo-retinal Consultants & Surgeons Pa, a provider established in Wichita, Kansas operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1275557761 assigned on July 2006. The practitioner's primary taxonomy code is 207WX0107X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Judy A Marek (Practice Administrator)

NPI
1275557761 Verify this NPI
Provider Name
VITREO-RETINAL CONSULTANTS & SURGEONS PA
Entity Type
Organization
Location Address
530 N LORRAINE ST WICHITA, KS 67214
Location Phone
(316) 683-5611
Location Fax
(316) 683-0294
Mailing Address
530 N LORRAINE ST WICHITA, KS 67214
Mailing Phone
(316) 683-5611
Mailing Fax
(316) 683-0294
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-27-2006
Last Update Date
07-11-2024
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology Retina Specialist

Taxonomy Code
207WX0107X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

(KS)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - PPO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - PPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUDY A MAREK

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(316) 683-3108

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D0451840
Facility Type
Physician Office
Certificate Effective Date
August 20, 2025
Certificate Expiration Date
August 19, 2027
Laboratory Director
PAUL D. WEISHAAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vitreo-retinal Consultants & Surgeons Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for VITREO-RETINAL CONSULTANTS & SURGEONS PA

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Ophthalmology (Retina Specialist)
530 N LORRAINE ST
WICHITA, KS 67214
Ophthalmology (Retina Specialist)
530 N LORRAINE ST
WICHITA, KS 67214
Ophthalmology (Retina Specialist)
530 N LORRAINE ST
WICHITA, KS 67214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275557761, enumerated as an "organization" on July 27, 2006.

The provider is located at 530 N LORRAINE ST WICHITA, KS 67214 and the phone number is (316) 683-5611.

Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to verify.