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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FORT WAYNE RETINA, P.C.

Active Organization

FORT WAYNE RETINA, P.C. is a Ophthalmology organization located in CARMEL, Indiana. NPI 1053358614 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · CARMEL, IN

Registration Details

NPI Number
1053358614
Provider Type
Organization
NPI Issued
Jun 1, 2006 (20.194423856899 yrs)
Last Updated
May 7, 2025
License
01050629A (IN)

Practice Information

Address
11220 ILLINOIS ST STE 150
CARMEL, IN, 460328887
Browse IN providers · Browse ZIP 46032
Phone
3178171822
Fax
3178171898
Primary Specialty
Ophthalmology
207W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.