DR. PRINCE D SAMUEL MD NPI 1295730299

NPI Information

  • NPI: 1295730299
  • Provider Name: DR. PRINCE D SAMUEL, MD
  • Classification: Ophthalmology - 207WX0107X
  • Specialization: Retina Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4221 WASHINGTON AVE
    EVANSVILLE, IN
    ZIP 47714
  • Phone: (812) 476-6500

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NPI Details

DR. Prince D Samuel, MD is a retina specialist ophthalmology in Evansville, IN. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. DR. Prince D Samuel, MD NPI is 1295730299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4221 WASHINGTON AVE
EVANSVILLE, IN
ZIP 47714-675
Phone: (812) 476-6500
Fax: (812) 476-6507

The NPI 1295730299 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2005 and was last updated on 4/24/2017.

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
1207WX0107XOphthalmologyRetina Specialist01057972AINDIANAYes

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
1H72575MEDICARE UPININDIANA
2208850AMEDICARE PININDIANA
3200454280MEDICAIDINDIANA

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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