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

Retina Vitreous Center, PLLC

Organization Optometrist · NPI 1811284946

Retina Vitreous Center, PLLC is an Optometrist in Edmond, Oklahoma. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1851 S Kelly Ave Ste A
Edmond, OK 73013-3929
Phone: (405) 607-6699
Fax: (405) 607-6685
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X
Optometrist Taxonomy 152W00000X

Record details

NPI number1811284946
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandeep Shah — Founding Manager · (405) 607-6699
NPI enumeratedJuly 10, 2011
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing addressPo Box 410108, Kansas City, MO 64141-0108

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