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

Retina & Vitreous L L C

Organization Ophthalmology Physician · NPI 1093999609

Retina & Vitreous L L C is an Ophthalmology Physician in South Bend, Indiana. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2

Practice location Address checks out

53822 Generations Dr
South Bend, IN 46635-1543
Phone: (574) 233-3711
Fax: (574) 288-1702
Show map & directions

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

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Retina Specialist (Ophthalmology) Physician Taxonomy 207WX0107X

Record details

NPI number1093999609
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Lee — Partner · (574) 233-3711
NPI enumeratedDecember 19, 2007
Last updated in NPPESJuly 12, 2017
Mailing address53822 Generations Drive, South Bend, IN 46635-1543

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