Retina Institute Of Indiana Surgery Center, Llc

LBN: Retina Institute Of Indiana Surgery Center, Llc
Retina Institute Of Indiana Surgery Center, Llc is an health care organization with primary practice located at 11192 Diebold Rd , Fort Wayne IN 46845-9662. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Ambulatory Health Care Facilities / Ambulatory Surgical. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Retina Institute Of Indiana Surgery Center, Llc can be contacted via phone (260) 483-9500, or through Salam, Gohar Azam via phone (260) 483-9500.

Contact Information

Primary practice address
11192 Diebold Rd Fort Wayne IN 46845-9662
Phone: (260) 483-9500
Fax: (260) 483-9511
Website:
Map and Directions
Authorized official contact:
Name: Salam, Gohar Azam Doctor of Medicine (MD)
Phone: (260) 483-9500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01058885A Indiana
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 13 012741 1 Indiana

Profile Details

NPI number 1730442559
LBN Legal business name Retina Institute Of Indiana Surgery Center, Llc
DBA Doing business as
Authorized official Salam, Gohar Azam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2012
Last updated Mar 3rd, 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.

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