NPI 1063173128 · live from the CMS NPI Registry
Advanced Retina S.C.
Ophthalmology, Retina Specialist in Greenfield, WI. National Provider Identifier 1063173128, active.
NPI record
| NPI | 1063173128 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Retina Specialist 207WX0107X |
| Practice location | 4131 W Loomis Rd Ste 240, Greenfield, WI 53221 |
| Practice phone | 262-510-0300 |
| Enumerated | December 31, 2021 |
| Last updated | January 5, 2025 |
| Authorized official | Ryan Vogel, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Retina Specialist primary | 207WX0107X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.