Organization
VITREO RETINAL SURGERY PLLC
Active
Other names
Retina Consultants of Minnesota
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRETCHEN G POFFENBERGER (CFO)
(952) 897-1175
Entity
Organization
Contact information
Practice address
3601 W 76TH ST STE 325, EDINA, MN 55435-5242
(952) 929-1131
(952) 929-8873
Mailing address
3601 W 76TH ST STE 300, EDINA, MN 55435-3004
(952) 929-1131
(952) 929-8873
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
—
—
Other
Enumeration date
10/12/2005
Last updated
05/01/2026
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