RETINA VITREOUS OF PA LLC
NPI 1851112676
Ophthalmology - Retina Specialist in Clarks Summit, PA

Active since October 23, 2024
210 N STATE ST STE 3, CLARKS SUMMIT, PA 18411(570) 587-7500 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Retina Vitreous Of Pa Llc NPPES

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

RETINA VITREOUS OF PA LLC (NPI 1851112676) is a healthcare organization registered as a retina specialist in Clarks Summit, Pennsylvania and active in the NPI registry since October 2024. The organization lists Ajey Shashikant Alurkar, Director Of Retina Service, as its authorized official.

NPPES Registry Identity

NPI1851112676
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA VITREOUS OF PA LLC
Location Address210 N STATE ST STE 3Clarks Summit, PA 18411-1008
Mailing Address210 N State St, Suite 1, 3 And 5 .Clarks Summit, PA 18411-1008 · (570) 587-7500 · Fax (570) 587-7501
Organization SubpartNo
Authorized OfficialAjey Shashikant AlurkarDirector Of Retina Service · (570) 587-7500
Enumeration DateOctober 23, 2024
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1851112676 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.
210 N STATE ST STE 3, Clarks Summit, PA 18411

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

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 Of Pa Llc 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 Vitreous Of PA LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ophthalmology
NPI 1043431026
210 N STATE ST STE 1&5
Clarks Summit, PA 18411
(570) 587-7500
✔ 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.

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 Of PA LLC's NPI number?

The NPI number for Retina Vitreous Of PA LLC is 1851112676. It was assigned to this organization in the NPPES registry on October 23, 2024.

Where is Retina Vitreous Of PA LLC located?

Retina Vitreous Of PA LLC is located at 210 N State St Ste 3, Clarks Summit, PA 18411. The listed phone number is (570) 587-7500.

What is Retina Vitreous Of PA LLC's specialty?

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

Is Retina Vitreous Of PA LLC enrolled in Medicare?

Yes. Retina Vitreous Of PA LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Vitreous Of PA LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Retina Vitreous Of PA LLC. 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 Vitreous Of PA LLC was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.