Indiana Retina Center

LBN: Indiana Retina Center Llc
Indiana Retina Center is an health care organization with primary practice located at 7802 W Jefferson Blvd Ste A , Fort Wayne IN 46804-4138. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty. Indiana Retina Center Llc can be contacted via phone (410) 967-7322, or through Kim, James Daeok via phone (410) 967-7322.

Contact Information

Primary practice address
7802 W Jefferson Blvd Ste A Fort Wayne IN 46804-4138
Phone: (410) 967-7322
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, James Daeok Doctor of Medicine (MD)
Phone: (410) 967-7322

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1518609429
LBN Legal business name Indiana Retina Center Llc
DBA Doing business as Indiana Retina Center
Authorized official Kim, James Daeok Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2022
Last updated Aug 4th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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