THIRD COAST RETINA S.C.
NPI 1831823921
Ophthalmology - Retina Specialist in Kenosha, WI
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
Specialties & Licenses
Group Practice 1
Accepted 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)
Third Coast Retina S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Third Coast Retina S.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 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.
Is Third Coast Retina S.C. enrolled in Medicare?
Yes. Third Coast Retina S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Third Coast Retina S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Third Coast Retina S.C.. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Third Coast Retina S.c. · NPI 1831823921
Retina Specialist organization in Kenosha, Wisconsin. Organization record, active in the CMS NPPES registry since July 13, 2022.
## Identity
- **NPI:** 1831823921 (Entity type: Organization)
- **Enumerated:** July 13, 2022
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Clinton Warren, PRESIDENT
## Practice location
- **Address:** 5017 GREEN BAY RD STE 148, Kenosha, WI 53144-1782
- **Phone:** (262) 420-5888
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1831823921) · Data from the CMS NPPES public registry.