RETINA INSTITUTE OF INDIANA SURGERY CENTER, LLC is an ambulatory surgical clinic center in Fort Wayne, IN. RETINA INSTITUTE OF INDIANA SURGERY CENTER, LLC NPI is 1730442559. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
11192 DIEBOLD RD
FORT WAYNE, IN
ZIP 46845-662
Phone: (260) 483-9500
Fax: (260) 483-9511
The provider's authorized official is Gohar Azam Salam .
The authorized official title is Sole Mbr and has the following contact phone number (260) 483-9500.
The enumeration date for this NPI number is 6/18/2012 and was last updated on 3/3/2016.