1. Home
  2. Directory
  3. Oklahoma
  4. Edmond
  5. Ophthalmology
  6. NPI Profile

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: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Oct 19, 2022 (2 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 UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ 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
Open in Google Maps ↗

Other Identifiers 1

Medicaid200198330AOK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AYMAN ELNAHRY MD, PHD
Ophthalmology (Retina Specialist)
1851 S KELLY AVE STE A
EDMOND, OK 73013
Oklahoma County (405) 607-6699
DR. SANDEEP N SHAH MD
Ophthalmology (Retina Specialist)
1851 S KELLY AVE STE A
EDMOND, OK 73013
Oklahoma County (405) 607-6699
MICHAEL PHILIP HOOD M.D.
Ophthalmology (Retina Specialist)
1851 S KELLY AVE STE A
EDMOND, OK 73013
Oklahoma County (405) 607-6699
DR. BRIAN STEVEN PHELPS MD
Ophthalmology (Retina Specialist)
1851 S KELLY AVE STE A
EDMOND, OK 73013
Oklahoma County (405) 607-6699
DR. RYAN RIDGES MD
Ophthalmology (Retina Specialist)
1851 S KELLY AVE STE A
EDMOND, OK 73013
Oklahoma County (405) 607-6699
DAVID JOSIP GRASIC MD
Ophthalmology (Retina Specialist)
1851 S KELLY AVE STE A
EDMOND, OK 73013
Oklahoma County (405) 607-6699

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.

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer 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 April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.