National Provider Identifier Database

GREATER LAFAYETTE RETINA CENTER PC
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.


Contact Information

GREATER LAFAYETTE RETINA CENTER, P.C.
1013 N 13TH ST
LAFAYETTE, IN47904-2011
Phone: 765-428-8888
Fax: 765-428-8889
Website:
Specialty Taxonomy Code
* Ophthalmology 207W00000X

* Indicates primary specialty

NPI Profile & details for GREATER LAFAYETTE RETINA CENTER, P.C.

NPI Number 1629280813
Legal business name
LBN
GREATER LAFAYETTE RETINA CENTER, P.C.
Authorized official PHYLLIS WATKINS - (BILLING DEPARTMENT)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 06/27/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 01057576A
  • IN Medicaid: 200441070
  • IN Other: POO176469 RAILROAD MEDICARE
  • IN Other: 01057576A STATE LICENSE

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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