Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Indiana Retina Center LLC

Organization Retina Specialist (Ophthalmology) Physician · NPI 1518609429

Indiana Retina Center LLC is a Retina Specialist (Ophthalmology) Physician in Fort Wayne, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7802 W Jefferson Blvd Ste A
Fort Wayne, IN 46804-4138
Phone: (260) 305-2822
Fax: (260) 305-2829
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Retina Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0107X

Record details

NPI number1518609429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Kim — President · (260) 305-2822
Other names Indiana Retina Center; Indiana Retina Center
NPI enumeratedApril 11, 2022
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address7802 W Jefferson Blvd Ste A, Fort Wayne, IN 46804-4138

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