MEDICARE: RETINA VITREOUS CONSULTANTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207WX0108X	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
2	207WX0107X	Retina Specialist (Ophthalmology) Physician
3	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
17	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
18	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
19	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
25	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
26	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699773796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RETINA VITREOUS CONSULTANTS

Provider Business Mailing Address
First Line	:	6333 N FEDERAL HWY STE 300
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-1909
Country	:	US
Telephone Number	:	954-776-6880
Fax Number	:	954-229-3100

Provider Business Practice Location Address
First Line	:	6333 N FEDERAL HWY
Second Line	:	SUITE 300
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33308-1907
Country	:	US
Telephone Number	:	954-776-6880
Fax Number	:	954-229-3100

Authorized Official
Title or Position	:	MD
Name	:	DR. ROBERT ARTHUR LALANE III
Credential	:
Telephone Number	:	919-801-1103

Provider Enumeration Date	:	07/12/2005
Last Update Date	:	01/26/2026

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Directions to “RETINA VITREOUS CONSULTANTS ” Practice Location

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