Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Retina SC

Organization Retina Specialist (Ophthalmology) Physician · NPI 1063173128

Advanced Retina SC is a Retina Specialist (Ophthalmology) Physician in Greenfield, Wisconsin. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4131 W Loomis Rd Ste 240
Greenfield, WI 53221-2072
Phone: (262) 510-0300
Fax: (262) 510-0500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X

Record details

NPI number1063173128
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Vogel — President · (414) 573-5946
NPI enumeratedDecember 31, 2021
Last updated in NPPESJanuary 5, 2025
Certification dateJanuary 5, 2025
Mailing address4131 W Loomis Rd Ste 240, Greenfield, WI 53221-2072

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