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Contact Information

VITREO RETINAL CENTER PC
4221 WASHINGTON AVE
EVANSVILLE, IN47714
 Phone: 812-476-6500
 Fax: 812-476-6507
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for VITREO RETINAL CENTER PC · (Female)

NPI # 1841333036
Status Active
Credentials
Entity Individual
Enumeration date 02/15/2007
Last updated 08/08/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 200885330A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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