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ADVANCED RETINA INSTITUTE LLC
NPI 1891573226
Ophthalmology - Retina Specialist in Bonita Springs, FL

Active since September 18, 2023CLIA 10D2341525 · Waiver
28901 TRAILS EDGE BLVD STE 202, BONITA SPRINGS, FL 34134(239) 544-3122(239) 544-3128 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2025, Aug 12, 2025, Oct 26, 2023 and 1 more (4 updates tracked since 2023).

About Advanced Retina Institute Llc NPPES

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

ADVANCED RETINA INSTITUTE LLC (NPI 1891573226) is a healthcare organization registered as a retina specialist in Bonita Springs, Florida and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through April 2, 2028, maintains a secondary practice location in Estero, and lists Michael Tsipursky, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1891573226
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameADVANCED RETINA INSTITUTE LLC
Location Address28901 TRAILS EDGE BLVD STE 202Bonita Springs, FL 34134-7588
Mailing Address9431 Corkscrew Palms CirEstero, FL 33928-6275 · (239) 544-3122 · Fax (239) 544-3128
Phone(239) 544-3122
Fax(239) 544-3128
Organization SubpartNo
Authorized OfficialMichael TsipurskyPhysician/owner · (847) 323-5792
Enumeration DateSeptember 18, 2023
Last NPPES UpdateDecember 18, 20254 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1891573226 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.
28901 TRAILS EDGE BLVD STE 202, Bonita Springs, FL 34134
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Secondary Practice Location 1

Location 19431 Corkscrew Palms CirEstero, FL 33928-6275 · Phone (239) 544-3122 · Fax (239) 544-3128

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

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 10D2341525

Advanced Retina Institute, LLC · Bonita Springs, FL
Active · expires Apr 2, 2028
CLIA Number10D2341525
Laboratory TypeResearch Site
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorMichael S. Tsipursky
Laboratory Phone(847) 323-5792
Laboratory LocationAdvanced Retina Institute, LLC28901 Trails Edge Blvd Suite 202, Bonita Springs, FL 34134
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MICHAEL S TSIPURSKY MD
Ophthalmology (Retina Specialist)
28901 TRAILS EDGE BLVD STE 202
BONITA SPRINGS, FL 34134
Lee County (239) 544-3122
FLORIDA MENS VITALITY CENTER INC
General Practice
28901 TRAILS EDGE BLVD STE 202
BONITA SPRINGS, FL 34134
Lee County (239) 220-1083
CARL JOSHUA DANZIG M.D.
Ophthalmology
28901 TRAILS EDGE BLVD STE 202
BONITA SPRINGS, FL 34134
Lee County (239) 544-3122

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 Advanced Retina Institute LLC's NPI number?

The NPI number for Advanced Retina Institute LLC is 1891573226. It was assigned to this organization in the NPPES registry on September 18, 2023.

Where is Advanced Retina Institute LLC located?

Advanced Retina Institute LLC is located at 28901 Trails Edge Blvd Ste 202, Bonita Springs, FL 34134. The listed phone number is (239) 544-3122.

What is Advanced Retina Institute LLC's specialty?

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

Does Advanced Retina Institute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2341525) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Retina Institute LLC was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.