Retina Vitreous Associates of FL – Ophthalmology Physician, NPI 1881712859

Retina Vitreous Associates of FL is a healthcare provider. based in Tampa, Florida. specializing in Ophthalmology Physician. The NPI Number for Retina Vitreous Associates of FL is 1881712859

Main info

Organization
Name
Retina Vitreous Associates of FL
NPI
1881712859
Phone
(813) 879-5795
Address
2705 W SAINT ISABEL ST
Authorized Official
PAMELA JANE PAUTLER ADMINISTRATOR ESQ
Enumeration Date
27 March 2007
Last Update Date
13 August 2024

Contacts

Secure Messaging
spautler@retinavitreous.intellechartdirect.net
Secure Messaging
kfindlay@retinavitreous.intellechartdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness90
Years active:19State licenses:0Updated within 12 months

Provider Addresses for Retina Vitreous Associates of FL

  • 2705 W SAINT ISABEL ST

    TAMPA, FL 336076319

    Phone: (813) 879-5795

    Fax: (813) 877-4578

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-09-30 (617 days ago).

Enrollment records

1

Earliest due date

2024-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20050628000729OClinic/Group PracticeFL2024-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33607)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Retina Vitreous Associates of FL?
Retina Vitreous Associates of FL — NPI 1881712859 — is the standard way to identify this listing.
Can I rely on Retina Vitreous Associates of FL being an active provider?
As of the registry snapshot, Retina Vitreous Associates of FL is marked active.
What healthcare role does Retina Vitreous Associates of FL hold?
Scheduling teams often label Retina Vitreous Associates of FL under Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does Retina Vitreous Associates of FL list a practice location?
Patients near Tampa, Florida may find Retina Vitreous Associates of FL in results; validate coverage separately.
Why does Retina Vitreous Associates of FL have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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