RETINA SPECIALISTS OF MINNESOTA PLLC
NPI 1841135340
Ophthalmology - Retina Specialist in Plymouth, MN
About Retina Specialists Of Minnesota Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RETINA SPECIALISTS OF MINNESOTA PLLC (NPI 1841135340) is a healthcare organization registered as a retina specialist in Plymouth, Minnesota and active in the NPI registry since April 2026. The organization lists Sandra R Montezuma, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 Minnesota Pllc 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 Retina Specialists Of Minnesota PLLC, 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 Retina Specialists Of Minnesota PLLC's NPI number?
The NPI number for Retina Specialists Of Minnesota PLLC is 1841135340. It was assigned to this organization in the NPPES registry on April 21, 2026.
Where is Retina Specialists Of Minnesota PLLC located?
Retina Specialists Of Minnesota PLLC is located at 3525 Plymouth Blvd Ste 207, Plymouth, MN 55447. The listed phone number is (617) 407-2304.
What is Retina Specialists Of Minnesota PLLC's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Retina Specialists Of Minnesota PLLC enrolled in Medicare?
Yes. Retina Specialists Of Minnesota PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Retina Specialists Of Minnesota PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Retina Specialists Of Minnesota 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Retina Specialists Of Minnesota PLLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Retina Specialists Of Minnesota Pllc · NPI 1841135340
Retina Specialist organization in Plymouth, Minnesota. Organization record, active in the CMS NPPES registry since April 21, 2026.
## Identity
- **NPI:** 1841135340 (Entity type: Organization)
- **Enumerated:** April 21, 2026
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Sandra Montezuma, PHYSICIAN OWNER
## Practice location
- **Address:** 3525 PLYMOUTH BLVD STE 207, Plymouth, MN 55447-1384
- **Phone:** (617) 407-2304
## 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:** April 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1841135340) · Data from the CMS NPPES public registry.