Retina & Vitreous L L C in South Bend - Retina Specialist
Retina & Vitreous L L C - NPI 1093999609
Retina & Vitreous L L C is a Retina Specialist in South Bend, Indiana. Retina & Vitreous L L C practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Retina & Vitreous L L C is 1093999609. The last update date is 2017-07-12.
Retina & Vitreous L L C's current location address is 53822 Generations Drive, South Bend, Indiana. You can contact this provider via phone number 5742333711 and fax number 5742881702. The mailing address for Retina & Vitreous L L C is 53822 Generations Drive, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Retina & Vitreous L L C |
|---|---|
| Address | 53822 Generations Drive, South Bend, Indiana |
| Phone Number | 5742333711 |
| Fax Number | 5742881702 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Lee T Robert |
| Credentials | MD |
| Telephone Number | 5742333711 |
NPI Number Detail
| NPI Number | 1093999609 |
|---|---|
| Provider Enumeration Date | 2007-12-19 |
| Last Updated Date | 2017-07-12 |
Provider Mailing Address Detail
| Address | 53822 Generations Drive |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466351543 |
| Phone Number | 5742333711 |
| Fax Number | 5742881702 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 549277 | IN | ANTHEM | |
| 200883090 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Retina & Vitreous L L C by the Centers for Medicare & Medicaid Services (CMS)?
The Retina & Vitreous L L C has been assigned the NPI (National Provider Identifier) 1093999609. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Retina & Vitreous L L C is physically located?
The Retina & Vitreous L L C is physically situated at the following address: 53822 Generations Drive, South Bend, IN, 466351543.
What is the Retina & Vitreous L L C's area of specialization and corresponding taxonomy classification?
The Retina & Vitreous L L C's specialty field is Retina Specialist, and it falls under the taxonomy code 207Wx0107X, which categorizes healthcare providers based on their specialties.
On what date did Retina & Vitreous L L C receive its 1093999609 assignment from the Centers for Medicare & Medicaid Services?
The Retina & Vitreous L L C was assigned its 1093999609 on 2007-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Retina & Vitreous L L C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Retina & Vitreous L L C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-07-12.
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