VITREO RETINAL SURGERY PLLC
NPI 1891783965
Ophthalmology in Edina, MN
NPI Status: Active since October 12, 2005
Contact Information
3601 W 76TH ST STE 325
EDINA, MN
ZIP 55435
Phone: (952) 929-1131
Fax: (952) 929-8873
- Organization
- Ophthalmology
- Accepts Insurance
- CLIA Number: 24D1066680
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-28-2027
About VITREO RETINAL SURGERY PLLC
This page provides the complete NPI Profile along with additional information for Vitreo Retinal Surgery Pllc, a provider established in Edina, Minnesota operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1891783965 assigned on October 2005. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated May 2026. Vitreo Retinal Surgery Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1891783965
- Provider Legal Name
- VITREO RETINAL SURGERY PLLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 3601 W 76TH ST STE 325 EDINA, MN 55435
- Location Phone
- (952) 929-1131
- Location Fax
- (952) 929-8873
- Mailing Address
- 3601 W 76TH ST STE 300 EDINA, MN 55435
- Mailing Phone
- (952) 929-1131
- Mailing Fax
- (952) 929-8873
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-12-2005
- Last Update Date
- 05-01-2026
- Code Navigator
Ophthalmologists like Vitreo Retinal Surgery Pllc specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.
Location Map
Secondary Locations
- 2830 Cutters Grove Ave Ste 100
Anoka, MN 55303
(612) 871-2292 - 99 Navaho Ave Ste 100
Mankato, MN 56001
(612) 871-2292 - 6099 Wayzata Blvd Ste 130
St Louis Park, MN 55416
(763) 550-1002 - 11855 Ulysses St NE Ste 110
Blaine, MN 55434
(763) 235-4104 - 2485 Maplewood Dr N Ste 213
Maplewood, MN 55109
(612) 871-2292 - 7115 Tamarack Rd Ste 100
Woodbury, MN 55125
(651) 361-8100 - 4316 Rice Lake Rd Ste 106
Duluth, MN 55811
(218) 625-5020 - 4150 2nd St S Ste 120
Saint Cloud, MN 56301
(320) 654-8353
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology
- Taxonomy Code
- 207W00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207WX0107X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 2 | 207WX0108X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 3 | 207WX0110X | Allopathic & Osteopathic Physicians | Ophthalmology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,300 Gold - PPO
- Atlas $2,000 Standard Gold - PPO
- Atlas $3,050 Plus Silver - PPO
- Atlas $3,800 HSA Silver - PPO
- Atlas $6,000 Standard Silver - PPO
- Atlas $6,800 Plus Bronze HSA - PPO
- Atlas $7,500 Standard Bronze HSA - PPO
- Atlas $8,400 HSA Bronze - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - HMO
- Premier $2,000 - 25% - HMO
- Premier $3,500 - 30% - HMO
- Premier $4,000 - 50% - HMO
- Premier $5,000 HDHP - HMO
- Premier $6,000 - 40% - HMO
- Premier $7,500 - HMO
- Premier $7,500 HDHP - HMO
- Premier HMO $1,500 - 30% - HMO
- Premier HMO $2,500 - 20% Copay - HMO
- Premier HMO $3,400 - 30% HDHP - HMO
- Premier HMO $3,500 - 30% - HMO
- Premier HMO $3,500 HDHP - HMO
- Premier HMO $4,000 - 20% HDHP - HMO
- Premier HMO $5,000 - 20% HDHP - HMO
- Premier HMO $5,500 - 40% Copay - HMO
- Premier HMO $7,500 HDHP - HMO
- Premier HMO $750 - 10% - HMO
- Premier HMO $9,500 - HMO
- Premier POS $1,500 - 30% - POS
- Premier POS $2,500 - 20% Copay - POS
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D1066680
- Facility Type
- Physician Office
- Certificate Effective Date
- March 29, 2025
- Certificate Expiration Date
- March 28, 2027
- Laboratory Director
- ROBERT MITTRA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vitreo Retinal Surgery Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1891783965, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 13 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891783965, enumerated as an "organization" on October 12, 2005.
The provider is located at 3601 W 76TH ST STE 325 EDINA, MN 55435 and the phone number is (952) 929-1131.
Ophthalmology with taxonomy code 207W00000X.
The provider might be accepting Accepts: HealthPartners, Medica and Security Health Plan. Please consult your insurance carrier or call the provider to verify.
