Fort Wayne Retina, P.C.

LBN: Fort Wayne Retina, P.C.
Fort Wayne Retina, P.C. is an health care organization with primary practice located at 10300 N Illinois St Ste 1050 , Indianapolis IN 46290-1168. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Fort Wayne Retina, P.C. can be contacted via phone (317) 817-1822, or through Finnen, Neil P via phone (260) 433-0164.

Contact Information

Primary practice address
10300 N Illinois St Ste 1050 Indianapolis IN 46290-1168
Phone: (317) 817-1822
Fax: (317) 817-1898
Website:
Map and Directions
Authorized official contact:
Name: Finnen, Neil P Doctor of Medicine (MD)
Phone: (260) 433-0164

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01050629A Indiana

Profile Details

NPI number 1053358614
LBN Legal business name Fort Wayne Retina, P.C.
DBA Doing business as
Authorized official Finnen, Neil P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 23rd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053358614 NPPES
Indiana MEDICAID 200218500
Indiana MEDICAID 200880960A
Indiana Other DG0850
Indiana Other 1225014848

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