THIRD COAST RETINA S.C.
NPI 1831823921
Ophthalmology - Retina Specialist in Kenosha, WI

Active since July 13, 2022
5017 GREEN BAY RD STE 148, KENOSHA, WI 53144(262) 420-5888 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2022, Jul 13, 2022 (2 updates tracked since 2022).

About Third Coast Retina S.c. NPPES

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

THIRD COAST RETINA S.C. (NPI 1831823921) is a healthcare organization registered as a retina specialist in Kenosha, Wisconsin and active in the NPI registry since July 2022. The organization lists Clinton Warren, President, as its authorized official.

NPPES Registry Identity

NPI1831823921
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameTHIRD COAST RETINA S.C.
Location Address5017 GREEN BAY RD STE 148Kenosha, WI 53144-1782
Mailing Address5017 Green Bay Rd Ste 148Kenosha, WI 53144-1782 · (336) 692-3384
Organization SubpartNo
Authorized OfficialClinton WarrenPresident · (262) 420-5888
Enumeration DateJuly 13, 2022
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
NPI 1831823921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
5017 GREEN BAY RD STE 148, Kenosha, WI 53144

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

Other Providers at the Same Location NPPES

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

Ophthalmology (Retina Specialist)
5017 GREEN BAY RD STE 148
KENOSHA, WI 53144

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 Third Coast Retina S.C.'s NPI number?

The NPI number for Third Coast Retina S.C. is 1831823921. It was assigned to this organization in the NPPES registry on July 13, 2022.

Where is Third Coast Retina S.C. located?

Third Coast Retina S.C. is located at 5017 Green Bay Rd Ste 148, Kenosha, WI 53144. The listed phone number is (262) 420-5888.

What is Third Coast Retina S.C.'s specialty?

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

What insurance does Third Coast Retina S.C. accept?

Health plans from Quartz list Third Coast Retina S.C. 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 Third Coast Retina S.C. was last updated on August 10, 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.