Vitreoretinal Consultants Of Fort Wayne, P.C.
LBN: Retina Institute Of Indiana, P.C.
Vitreoretinal Consultants Of Fort Wayne, P.C. is an health care organization with primary practice located at 11188 Diebold Rd , Fort Wayne IN 46845-9662. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty.
Retina Institute Of Indiana, P.C. can be contacted via phone (260) 483-9500, or through Salam, Gohar Azam via phone (260) 483-9500.
Contact Information
Primary practice address
11188 Diebold Rd
Fort Wayne IN 46845-9662
Phone: (260) 483-9500
Fax: (260) 483-9511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 50004672A | Indiana |
Profile Details
| NPI number | 1457492167 |
|---|---|
| LBN Legal business name | Retina Institute Of Indiana, P.C. |
| DBA Doing business as | Vitreoretinal Consultants Of Fort Wayne, P.C. |
| Authorized official | Salam, Gohar Azam Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Mar 17th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457492167 | NPPES |
| Indiana | Other | 000000364631 | ANTHEM BLUE CROSS |
| Indiana | Other | 17842 | ANTHEM BLUE CROSS |
| Indiana | MEDICAID | 200522580A | ANTHEM BLUE CROSS |
| Indiana | Other | 7800696 | ANTHEM BLUE CROSS |
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