ADVANCED RETINA INSTITUTE LLC
NPI 1891573226
Ophthalmology - Retina Specialist in Bonita Springs, FL
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
Specialties & Licenses
Secondary Practice Location 1
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)
Advanced Retina Institute Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Retina Institute LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Bonita Springs, FL 34134
Bonita Springs, FL 34134
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLFrequently 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.
Is Advanced Retina Institute LLC enrolled in Medicare?
Yes. Advanced Retina Institute LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Retina Institute LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Advanced Retina Institute 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10 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.
# Advanced Retina Institute Llc · NPI 1891573226
Retina Specialist organization in Bonita Springs, Florida. Organization record, active in the CMS NPPES registry since September 18, 2023.
## Identity
- **NPI:** 1891573226 (Entity type: Organization)
- **Enumerated:** September 18, 2023
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Michael Tsipursky, PHYSICIAN/OWNER
## Practice location
- **Address:** 28901 TRAILS EDGE BLVD STE 202, Bonita Springs, FL 34134-7588
- **Phone:** (239) 544-3122 · **Fax:** (239) 544-3128
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 18, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891573226) · Data from the CMS NPPES public registry.