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

Summit Retina Consultants, PC

Organization Ophthalmology Physician · NPI 1124359708

Summit Retina Consultants, PC is an Ophthalmology Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2010.

Licensed in
IN
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6435 W Jefferson Blvd # 203
Fort Wayne, IN 46804-6203
Phone: (260) 515-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 50005075A (IN)

Record details

NPI number1124359708
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Velimir Petrovic — President · (260) 515-2778
NPI enumeratedJanuary 21, 2010
Last updated in NPPESJanuary 21, 2010
Mailing address6435 W Jefferson Blvd # 203, Fort Wayne, IN 46804-6203

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