ASSOCIATED VITREORETINAL & UVEITIS CONSULTANTS LLC NPI 1043270309

NPI Information

  • NPI: 1043270309
  • Provider Name: ASSOCIATED VITREORETINAL & UVEITIS CONSULTANTS LLC
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Organization
  • :
  • CLIA Number: 15D2191435
  • Address: 12794 HAMILTON CROSSING BLVD
    CARMEL, IN
    ZIP 46032
  • Phone: (317) 571-1501

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NPI Details

ASSOCIATED VITREORETINAL & UVEITIS CONSULTANTS LLC is a retina specialist ophthalmology in Carmel, IN. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. ASSOCIATED VITREORETINAL & UVEITIS CONSULTANTS LLC NPI is 1043270309. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

12794 HAMILTON CROSSING BLVD
CARMEL, IN
ZIP 46032-422
Phone: (317) 571-1501
Fax: (317) 571-4806

The provider's authorized official is Ramana S Moorthy .
The authorized official title is Md Opthalmologist and has the following contact phone number (317) 571-1501.

The CLIA number assigned to this NPI record is 15D2191435 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2006 and was last updated on 4/16/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmologyNo
2207WX0107XOphthalmologyRetina SpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201246530MEDICAIDINDIANA

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: 11/21/2025

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