VITREO-RETINAL CONSULTANTS, INC.
NPI 1750347662
Ophthalmology in Canton, OH

Active since April 21, 2006
4676 DOUGLAS CIR NW, CANTON, OH 44718(330) 494-1116(330) 494-0276 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vitreo-retinal Consultants, Inc. NPPES

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

VITREO-RETINAL CONSULTANTS, INC. (NPI 1750347662) is a healthcare organization registered as an ophthalmology in Canton, Ohio and active in the NPI registry since April 2006. The organization lists Mark A. Gersman, Vice President, as its authorized official.

NPPES Registry Identity

NPI1750347662
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameVITREO-RETINAL CONSULTANTS, INC.
Location Address4676 DOUGLAS CIR NWCanton, OH 44718-3619
Mailing Address4676 Douglas Cir NwCanton, OH 44718-3619 · (330) 494-1116 · Fax (330) 494-0276
Fax(330) 494-0276
Organization SubpartNo
Authorized OfficialMark A. GersmanVice President · (330) 494-1116
Enumeration DateApril 21, 2006
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1750347662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
4676 DOUGLAS CIR NW, Canton, OH 44718

Other Identifiers 3

Medicaid0015118480004PA
Medicaid6300115000WV
Medicaid0693576OH

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitreo-retinal Consultants, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOhioEnrollment IDO20040303000628Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Vitreo-Retinal Consultants, Inc., which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Ophthalmology
NPI 1215027115
4676 DOUGLAS CIR NW
Canton, OH 44718
(330) 494-1116
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1205839552
4676 DOUGLAS CIR NW
Canton, OH 44718
(330) 494-1116
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1568464832
4676 DOUGLAS CIR NW
Canton, OH 44718
(330) 494-1116
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1316001720
4676 DOUGLAS CIR NW
Canton, OH 44718
(330) 494-1116
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1639172984
4676 DOUGLAS CIR NW
Canton, OH 44718
(330) 494-1116
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1417481946
4676 DOUGLAS CIR NW
Canton, OH 44718
(330) 494-1116
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1689080236
4676 DOUGLAS CIR NW
Canton, OH 44718
(330) 494-1116
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1245763390
3135 HIGHLAND RD STE A
Hermitage, PA 16148
(724) 346-4180
✔ PECOS✔ Accepts Medicare58 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vitreo-Retinal Consultants, Inc.'s NPI number?

The NPI number for Vitreo-Retinal Consultants, Inc. is 1750347662. It was assigned to this organization in the NPPES registry on April 21, 2006.

Where is Vitreo-Retinal Consultants, Inc. located?

Vitreo-Retinal Consultants, Inc. is located at 4676 Douglas Cir NW, Canton, OH 44718. The listed phone number is (330) 494-1116.

What is Vitreo-Retinal Consultants, Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Vitreo-Retinal Consultants, Inc. enrolled in Medicare?

Yes. Vitreo-Retinal Consultants, Inc. is registered in the Medicare PECOS enrollment system.

When is Vitreo-Retinal Consultants, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Vitreo-Retinal Consultants, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Ophthalmology, reassign their Medicare billing to Vitreo-Retinal Consultants, Inc.. 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.

What insurance does Vitreo-Retinal Consultants, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Vitreo-Retinal Consultants, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vitreo-Retinal Consultants, Inc. was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.