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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RETINA VITREOUS CENTER, PLLC
NPI 1811284946
Ophthalmology - Retina Specialist in Edmond, OK

Active since July 10, 2011CLIA 37D2106972 · Waiver
1851 S KELLY AVE STE A, EDMOND, OK 73013(405) 607-6699(405) 607-6685 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2026, Nov 6, 2023, Oct 19, 2022 (3 updates tracked since 2022).

About Retina Vitreous Center, Pllc NPPES

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

RETINA VITREOUS CENTER, PLLC (NPI 1811284946) is a healthcare organization registered as a retina specialist in Edmond, Oklahoma and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through January 3, 2028 and lists Sandeep N. Shah, Founding Manager, as its authorized official.

NPPES Registry Identity

NPI1811284946
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA VITREOUS CENTER, PLLC
Location Address1851 S KELLY AVE STE AEdmond, OK 73013-3929
Mailing AddressPo Box 410108Kansas City, MO 64141-0108 · (405) 607-6699 · Fax (405) 607-6685
Phone(405) 607-6699
Fax(405) 607-6685
Organization SubpartNo
Authorized OfficialSandeep N. ShahFounding Manager · (405) 607-6699
Enumeration DateJuly 10, 2011
Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2026
✔ NPI 1811284946 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 ListedOptometristTaxonomy 152W00000X
1851 S KELLY AVE STE A, Edmond, OK 73013
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Other Identifiers 1

Medicaid200198330AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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 Vitreous Center, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Retina Vitreous Center, PLLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Sahab Astani, OD
Optometry
NPI 1174142418
1851 S KELLY AVE SUITE B
Edmond, OK 73013
(405) 393-2273
✔ PECOS✔ Accepts MedicareSame address
Ayman Elnahry, MD, PHD
Ophthalmology
NPI 1003542101
1851 S KELLY AVE STE A
Edmond, OK 73013
(405) 607-6699
✔ PECOS✔ Accepts MedicareSame address
David Grasic, MD
Ophthalmology
NPI 1982256558
1851 S KELLY AVE STE A
Edmond, OK 73013
(405) 607-6699
✔ PECOS✔ Accepts MedicareSame address
Michael Hood, M.D.
Ophthalmology
NPI 1386932333
1851 S KELLY AVE STE A
Edmond, OK 73013
(405) 607-6699
✔ PECOS✔ Accepts MedicareSame address
Brian Phelps, MD
Ophthalmology
NPI 1689866576
1851 S KELLY AVE STE A
Edmond, OK 73013
(405) 607-6699
✔ PECOS✔ Accepts MedicareSame address
Ryan Ridges, MD
Ophthalmology
NPI 1780634782
1851 S KELLY AVE STE A
Edmond, OK 73013
(405) 607-6699
✔ PECOS✔ Accepts MedicareSame address
Sandeep Shah, MD
Ophthalmology
NPI 1154362770
1851 S KELLY AVE STE A
Edmond, OK 73013
(405) 607-6699
✔ 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.

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 37D2106972

Retina Vitreous Center · Edmond, OK
Active · expires Jan 3, 2028
CLIA Number37D2106972
Laboratory TypePhysician Office
Certificate Effective DateJanuary 4, 2026
Certificate Expiration DateJanuary 3, 2028
Laboratory DirectorSandeep N. Shah
Laboratory Phone(405) 607-6699
Laboratory LocationRetina Vitreous Center1851 S Kelly Ave, Ste C, Edmond, OK 73013
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Vitreous Center, PLLC's NPI number?

The NPI number for Retina Vitreous Center, PLLC is 1811284946. It was assigned to this organization in the NPPES registry on July 10, 2011.

Where is Retina Vitreous Center, PLLC located?

Retina Vitreous Center, PLLC is located at 1851 S Kelly Ave Ste A, Edmond, OK 73013. The listed phone number is (405) 607-6699.

What is Retina Vitreous Center, PLLC's specialty?

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

Is Retina Vitreous Center, PLLC enrolled in Medicare?

Yes. Retina Vitreous Center, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Vitreous Center, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Retina Vitreous Center, PLLC. 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. The largest specialties are Ophthalmology (6) and Optometry (1). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Retina Vitreous Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2106972) is associated with this NPI, valid through January 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Retina Vitreous Center, PLLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Retina Vitreous Center, PLLC 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 Vitreous Center, PLLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.