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RETINA SPECIALISTS OF MICHIGAN PC
NPI 1801048699
Ophthalmology - Retina Specialist in Grand Rapids, MI

Active since October 13, 2008
5030 CASCADE RD SE, GRAND RAPIDS, MI 49546(616) 954-2020(616) 949-0408 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Retina Specialists Of Michigan Pc NPPES

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

RETINA SPECIALISTS OF MICHIGAN PC (NPI 1801048699) is a healthcare organization registered as a retina specialist in Grand Rapids, Michigan and active in the NPI registry since October 2008. The organization lists Heather Duhr, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1801048699
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA SPECIALISTS OF MICHIGAN PC
Location Address5030 CASCADE RD SEGrand Rapids, MI 49546-3725
Mailing Address5030 Cascade Rd SeGrand Rapids, MI 49546-3725 · (616) 954-2020 · Fax (616) 949-0408
Phone(616) 954-2020
Fax(616) 949-0408
Organization SubpartNo
Authorized OfficialHeather DuhrExecutive Director · (616) 466-7562
Enumeration DateOctober 13, 2008
Last NPPES UpdateJune 6, 2022
NPPES CertifiedJune 6, 2022
✔ NPI 1801048699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License 4301077476 (MI)
5030 CASCADE RD SE, Grand Rapids, MI 49546
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Specialists Of Michigan Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Retina Specialists Of Michigan PC, which bills Medicare for the services they deliver. Of these, 11 practice at this address. They are listed nearest first.

Clinicians, nearest first (11)

Joseph Boss, M.D.
Ophthalmology
NPI 1912346388
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Kathleen Dehorn, MD
Ophthalmology
NPI 1215143797
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Austen Knapp, MD
Ophthalmology
NPI 1871098111
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Edward Korot, M.D.
Ophthalmology
NPI 1669853768
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Nathan Pezda, M.D.
Ophthalmology
NPI 1669602033
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Liliya Sutherland, D.O.
Ophthalmology
NPI 1942463252
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Scott Westhouse, D.O.
Ophthalmology
NPI 1306016977
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Thomas Aaberg, MD
Ophthalmology
NPI 1194753186
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Greg Bever, M.D.
Ophthalmology
NPI 1114366440
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Jordan Ueberroth, MD
Ophthalmology
NPI 1558999821
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address
Amro Omari, MD
Ophthalmology
NPI 1922665587
5030 CASCADE RD SE
Grand Rapids, MI 49546
(616) 954-2020
✔ PECOS✔ Accepts MedicareSame address

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 Retina Specialists Of Michigan PC's NPI number?

The NPI number for Retina Specialists Of Michigan PC is 1801048699. It was assigned to this organization in the NPPES registry on October 13, 2008.

Where is Retina Specialists Of Michigan PC located?

Retina Specialists Of Michigan PC is located at 5030 Cascade Rd SE, Grand Rapids, MI 49546. The listed phone number is (616) 954-2020.

What is Retina Specialists Of Michigan PC's specialty?

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

Is Retina Specialists Of Michigan PC enrolled in Medicare?

Yes. Retina Specialists Of Michigan PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Specialists Of Michigan PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Ophthalmology, reassign their Medicare billing to Retina Specialists Of Michigan 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, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Retina Specialists Of Michigan PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Retina Specialists Of Michigan PC 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 Retina Specialists Of Michigan PC was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.