Lafayette Retina Clinic Pc in Lafayette - Ophthalmology

Lafayette Retina Clinic Pc - NPI 1568630325

Lafayette Retina Clinic Pc is a Ophthalmology in Lafayette, Indiana. Lafayette Retina Clinic Pc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Lafayette Retina Clinic Pc is 1568630325. The last update date is 2008-02-14.

Lafayette Retina Clinic Pc's current location address is 100 Professional Ct, Lafayette, Indiana. You can contact this provider via phone number 7654469446 and fax number 7654479672. The mailing address for Lafayette Retina Clinic Pc is 100 Professional Ct, Lafayette, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Lafayette Retina Clinic Pc
Address 100 Professional Ct, Lafayette, Indiana
Phone Number 7654469446
Fax Number 7654479672
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Schraut E Gary
Credentials MD
Telephone Number 7654469446

NPI Number Detail

NPI Number 1568630325
Provider Enumeration Date 2008-02-14
Last Updated Date 2008-02-14

Provider Mailing Address Detail

Address 100 Professional Ct
City Lafayette
State Indiana (IN)
Post Code 479055161
Phone Number 7654469446
Fax Number 7654479672

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No 1042571
Definition:
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 incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1C18940 IN LEGACY

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FAQs about Lafayette Retina Clinic Pc

What is the unique identifier code issued to Lafayette Retina Clinic Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Lafayette Retina Clinic Pc has been assigned the NPI (National Provider Identifier) 1568630325. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Lafayette Retina Clinic Pc?

The Lafayette Retina Clinic Pc is situated at 100 Professional Ct, in the city of Lafayette, state of IN, with the zip code 479055161.

What is the Lafayette Retina Clinic Pc's specialty and taxonomy code?

The Lafayette Retina Clinic Pc's specialty is Ophthalmology, and the corresponding taxonomy code is 207W00000X.

When did Lafayette Retina Clinic Pc receive its 1568630325 assignment?

The Lafayette Retina Clinic Pc was assigned its 1568630325 on 2008-02-14, which is the date when this unique identifier was issued to the organization.

When was the information related to Lafayette Retina Clinic Pc most recently updated or refreshed?

The details pertaining to the Lafayette Retina Clinic Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-02-14.

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