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Contact Information

NORTH INDIANA RETINA LLC
303 S MAIN ST STE 215
MISHAWAKA, IN46544-2160
 Phone: 574-291-4000
 Fax: 260-279-3211
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for NORTH INDIANA RETINA LLC

NPI # 1316822216
LBN Legal business name NORTH INDIANA RETINA LLC
Authorized official PHILIP KUROCHKIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/08/2025
Last updated 01/18/2026 - About 5 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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