VITREO-RETINAL ASSOCIATES PC
NPI 1588892244
Ophthalmology in Worcester, MA

NPI Status: Active since July 01, 2009

Contact Information

67 BELMONT ST STE 302
WORCESTER, MA
ZIP 01605
Phone: (865) 531-0176
Fax: (508) 752-4862

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  • Organization
  • Ophthalmology
  • CLIA Number: 22D2023726
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-28-2027

About VITREO-RETINAL ASSOCIATES PC

This page provides the complete NPI Profile along with additional information for Vitreo-retinal Associates Pc, a provider established in Worcester, Massachusetts operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1588892244 assigned on July 2009. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. Marc A Champa (Practice Manager)

NPI
1588892244
Provider Name
VITREO-RETINAL ASSOCIATES PC
Entity Type
Organization
Location Address
67 BELMONT ST STE 302 WORCESTER, MA 01605
Location Phone
(865) 531-0176
Location Fax
(508) 752-4862
Mailing Address
67 BELMONT ST SUITE 302 WORCESTER, MA 01605
Mailing Phone
(508) 752-1155
Mailing Fax
(508) 752-4862
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2009
Last Update Date
03-22-2018
Code Navigator

Ophthalmologists like Vitreo-retinal Associates Pc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Secondary Locations

  • 975 Merriam Ave Ste 117
    Leominster, MA 01453
    (508) 752-1155

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

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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

MR. MARC A CHAMPA

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(508) 752-1155

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
110068662AMEDICAID (05)MA 
0013345OTHER (01)MAMEDICARE PTAN
M19742OTHER (01)MABC/BS GROUP NUMBER

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
22D2023726
Facility Type
Physician Office
Certificate Effective Date
April 29, 2025
Certificate Expiration Date
April 28, 2027
Laboratory Director
FRANK J. MCCABE MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Vitreo-retinal Associates Pc 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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588892244
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25168169428
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 6 + 9 + 4 + 2 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1588892244 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588892244, enumerated as an "organization" on July 01, 2009.

The provider is located at 67 BELMONT ST STE 302 WORCESTER, MA 01605 and the phone number is (865) 531-0176.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.