# ADVANCED RETINA INSTITUTE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891573226
- **Authorized official:** DR. MICHAEL TSIPURSKY MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (847) 323-5792

## Contact information

- **Practice address:** 28901 TRAILS EDGE BLVD STE 202, BONITA SPRINGS, FL 34134-7588
- **Practice address phone:** (239) 544-3122
- **Practice address fax:** (239) 544-3128
- **Mailing address:** 9431 CORKSCREW PALMS CIR, ESTERO, FL 33928-6275
- **Mailing address phone:** (239) 544-3122
- **Mailing address fax:** (239) 544-3128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/18/2023
- **Last updated:** 12/18/2025