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SUMMIT RETINA CONSULTANTS P.C. NPI 1124359708


NPI Information

NPI: 1124359708
Provider Name: SUMMIT RETINA CONSULTANTS, P.C.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
6435 W JEFFERSON BLVD # 203
FORT WAYNE, IN
ZIP 46804
Phone: (260) 515-2778
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SUMMIT RETINA CONSULTANTS, P.C. is an ophthalmology in Fort Wayne, IN. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SUMMIT RETINA CONSULTANTS, P.C. NPI is 1124359708. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6435 W JEFFERSON BLVD # 203
FORT WAYNE, IN
ZIP 46804-203
Phone: (260) 515-2778

The provider's authorized official is Velimir Petrovic .
The authorized official title is President and has the following contact phone number (260) 515-2778.

The enumeration date for this NPI number is 1/21/2010 and was last updated on 1/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology50005075AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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