Organization · Type 2 NPI
Retina Institute of Indiana Surgery Center, LLC
Ambulatory Surgical Clinic/Center · Fort Wayne, IN
NPI number
1730442559
Active
Practice location
11192 Diebold Rd
Fort Wayne, IN 46845-9662
Fax (260) 483-9511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology Physician | 207W00000X | 01058885A (IN) |
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 13 012741 1 (IN) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1730442559
Retina Institute of Indiana Surgery Center, LLC's National Provider Identifier is 1730442559, issued on Jun 18, 2012. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 3, 2016.