Retina Institute of Indiana Surgery Center, LLC
Retina Institute of Indiana Surgery Center, LLC is an Ophthalmology Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2012.
- Licensed in
- IN
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11192 Diebold RdFort Wayne, IN 46845-9662
Phone: (260) 483-9500
Fax: (260) 483-9511
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence 13 012741 1 (IN) |
|---|---|
| Ophthalmology Physician | Taxonomy 207W00000X · Licence 01058885A (IN) |
Record details
| NPI number | 1730442559 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gohar Salam — Sole Mbr · (260) 483-9500 |
| NPI enumerated | June 18, 2012 |
| Last updated in NPPES | March 3, 2016 |
| Mailing address | 11192 Diebold Rd, Fort Wayne, IN 46845-9662 |
Other providers in Fort Wayne
-
Northeast Ophthalmology P C
7750 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4174 · (260) 459-9595
-
Northeast Ophthalmology P C
3301 Lake Ave, Fort Wayne, IN 46805-5529 · (260) 422-3937
-
Dr. John Rex Parent, MD
321 E Wayne St, Fort Wayne, IN 46802-2713 · (260) 424-5656
-
Mark A Renshaw, MD
7232 Engle Rd, Fort Wayne, IN 46804-2222 · (260) 436-7205
-
Retina Institute of Indiana, PC
11188 Diebold Rd, Fort Wayne, IN 46845-9662 · (260) 483-9500
-
Dr. Gohar A Salam, MD, FACS
11188 Diebold Rd, Fort Wayne, IN 46845-9662 · (260) 483-9500
-
Barbara Schroeder, MD
3301 Lake Ave, Fort Wayne, IN 46805-5529 · (260) 422-3937
-
Thomas Allen Shealy, MD
6036 Trier Rd, Fort Wayne, IN 46815-5337 · (260) 486-0065