Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VITREORETINAL SURGERY PLLC
NPI 1891783965
Ophthalmology in Edina, MN

Q: What is Vitreoretinal Surgery PLLC's NPI number?

The NPI number for Vitreoretinal Surgery PLLC is 1891783965. It was assigned to this organization in the NPPES registry on October 12, 2005. The provider is doing business as Retina Consultants of Minnesota.

Q: What is Vitreoretinal Surgery PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since October 12, 2005CLIA Certified · 2 labs

3601 W 76TH ST STE 325, EDINA, MN 55435(952) 929-1131(952) 929-8873 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, May 1, 2026, Sep 2, 2025 and 6 more (9 updates tracked since 2020).

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About Vitreoretinal Surgery Pllc NPPES

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

VITREORETINAL SURGERY PLLC (NPI 1891783965), doing business as Retina Consultants Of Minnesota, is a healthcare organization registered as an ophthalmology in Edina, Minnesota and active in the NPI registry since October 2005. The organization holds 2 active CLIA laboratory certificates, maintains 8 additional practice locations, and lists Gretchen G Poffenberger, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891783965

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameVITREORETINAL SURGERY PLLC

Location Address3601 W 76TH ST STE 325Edina, MN 55435-5242

Mailing Address3601 W 76th St Ste 300Edina, MN 55435-3004 · (952) 929-1131 · Fax (952) 929-8873

Phone(952) 929-1131

Fax(952) 929-8873

Organization SubpartNo

Authorized OfficialGretchen G PoffenbergerCfo · (952) 897-1175

Enumeration DateOctober 12, 2005

Last NPPES UpdateJuly 30, 20269 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1891783965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X

Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X

Also ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X

3601 W 76TH ST STE 325, Edina, MN 55435

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Other Names 1

Doing Business AsRetina Consultants Of Minnesota

Secondary Practice Locations 8

Location 12830 Cutters Grove Ave Ste 100Anoka, MN 55303-6212 · Phone (612) 871-2292

Location 211855 Ulysses St NE Ste 110Blaine, MN 55434-3948 · Phone (763) 235-4104 · Fax (763) 755-0277

Location 34316 Rice Lake Rd Ste 106Duluth, MN 55811-4012 · Phone (218) 625-5020 · Fax (218) 625-8179

Location 44150 2nd St S Ste 120Saint Cloud, MN 56301-7314 · Phone (320) 654-8353 · Fax (320) 654-8663

Location 57115 Tamarack Rd Ste 100Woodbury, MN 55125-1214 · Phone (651) 361-8100 · Fax (651) 361-8101

Location 66099 Wayzata Blvd Ste 130St Louis Park, MN 55416-5538 · Phone (763) 550-1002

Location 799 Navaho Ave Ste 100Mankato, MN 56001-4877 · Phone (612) 871-2292

Location 82485 Maplewood Dr N Ste 213Maplewood, MN 55109-1980 · Phone (612) 871-2292

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 24D2254996

Vitreoretinal Surgery D/B/A Retina Consultants Of Minnesota · Saint Louis Park, MN

Active · expires Mar 8, 2028

CLIA Number24D2254996

Laboratory TypePhysician Office

Certificate Effective DateMarch 9, 2026

Certificate Expiration DateMarch 8, 2028

Laboratory DirectorMallorie Schieck

Laboratory Phone(952) 929-1131

Laboratory LocationVitreoretinal Surgery D/B/A Retina Consultants Of Minnesota6099 Wayzata Boulevard, Suite 210, Saint Louis Park, MN 55416

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1066680

Vitreoretinal Surgery · Edina, MN

Active · expires Mar 28, 2027

CLIA Number24D1066680

Laboratory TypePhysician Office

Certificate Effective DateMarch 29, 2025

Certificate Expiration DateMarch 28, 2027

Laboratory DirectorRobert Mittra

Laboratory Phone(952) 929-1131

Laboratory LocationVitreoretinal SurgeryCentennial Lakes Park III 3601 76th Street West Suite 300, Edina, MN 55435

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

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

DR. CYNTHIA K MCCLARD MD PHD

Ophthalmology